Provider Demographics
NPI:1699093625
Name:FIELDS, TONYA MAREA (FNP-C)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:MAREA
Last Name:FIELDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:MAREA
Other - Last Name:MCCOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4802
Mailing Address - Country:US
Mailing Address - Phone:806-244-5668
Mailing Address - Fax:806-884-2790
Practice Address - Street 1:206 E 16TH ST
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4802
Practice Address - Country:US
Practice Address - Phone:806-244-5668
Practice Address - Fax:806-884-2790
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX661513363L00000X, 363LW0102X, 363LX0001X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216508608Medicaid
TX2165086-07Medicaid