Provider Demographics
NPI:1962115923
Name:TOSCANO, JUDY MARGARAT (NP)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:MARGARAT
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 MCKINZIE RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-2628
Mailing Address - Country:US
Mailing Address - Phone:361-241-6700
Mailing Address - Fax:361-241-4302
Practice Address - Street 1:3022 MCKINZIE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-2628
Practice Address - Country:US
Practice Address - Phone:361-241-6700
Practice Address - Fax:361-241-4302
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1105850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily