Healthcare Provider Details

I. General information

NPI: 1811144413
Provider Name (Legal Business Name): TONYA STAMPER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONYA HAUFF

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 BROADWAY ST
QUINCY IL
62301-2719
US

IV. Provider business mailing address

927 BROADWAY ST
QUINCY IL
62301-2719
US

V. Phone/Fax

Practice location:
  • Phone: 217-223-8400
  • Fax:
Mailing address:
  • Phone: 217-223-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209008905
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2008022475
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: