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Dr. Herald Surya
Psychiatric/Mental Health Nurse Practitioner in Tucson, Arizona
NPI 1083811665

Herald Surya is a Psychiatric/Mental Health Nurse Practitioner based in Tucson, AZ and is specialized in Psychiatric/Mental Health. Herald Surya practices in Tucson, AZ. The NPI Number for Herald Surya is 1083811665 and holds a License No. AP11012 (Arizona).

The current practice location address for Herald Surya is 1075 E Fort Lowell Rd, Tucson, AZ and can be reached out via phone at 520-202-1960 and via fax at 520-622-5358.

Location: 1075 E Fort Lowell Rd, Tucson, AZ, 85719-2378
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Provider Profile Details
NPI Number
1083811665
Provider Name
Herald Surya
Credential
Provider Entity Type
Individual
Gender
Male
Address
1075 E Fort Lowell Rd, Tucson, AZ, 85719-2378
Phone Number
520-202-1960
Fax Number
520-622-5358
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363298 05 AZ
institution
Provider Business Practice Location Address Details
Address
1075 E Fort Lowell Rd
City
State
Zip
85719
Phone Number
520-202-1960
Fax Number
520-622-5358
person
Provider Business Mailing Address Details
Address
1075 E Fort Lowell Rd
City
State
Zip
85719
Phone Number
520-202-1960
Fax Number
520-622-5358
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP11012 (Arizona)
Definition
Definition to come...
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