Healthcare Provider Details

I. General information

NPI: 1407617830
Provider Name (Legal Business Name): ORO VALLEY PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6812 N ORACLE RD STE 144
TUCSON AZ
85704-4258
US

IV. Provider business mailing address

6812 N ORACLE RD STE 144
TUCSON AZ
85704-4258
US

V. Phone/Fax

Practice location:
  • Phone: 520-201-0092
  • Fax: 520-645-2827
Mailing address:
  • Phone: 520-201-0092
  • Fax: 520-645-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TONIA ANNE ISOTALO
Title or Position: PMHNP
Credential: DNP
Phone: 520-386-5646