Healthcare Provider Details

I. General information

NPI: 1184091639
Provider Name (Legal Business Name): TONYA WATKINS APRN, FNP-C, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 SPIT BROOK RD STE 202
NASHUA NH
03060-5614
US

IV. Provider business mailing address

61 SPIT BROOK RD STE 202
NASHUA NH
03060-5614
US

V. Phone/Fax

Practice location:
  • Phone: 603-821-0008
  • Fax: 603-554-8617
Mailing address:
  • Phone: 603-821-0008
  • Fax: 603-554-8617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number062900-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number062900-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: