Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Herald Surya, PHMNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083811665

Dr. Herald Surya, PHMNP-BC is a Nurse Practitioner in Tucson, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2007
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Practice location Address checks out

7440 N Oracle Rd Bldg 4
Tucson, AZ 85704-6385
Phone: (520) 308-5289
Fax: (520) 989-3025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP11012 (AZ)

Record details

NPI number1083811665
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMNP-BC
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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