Anderson, Tayla Jo

Anderson, Tayla Jo is an individual health care provider with primary practice located at 1325 Locust Ave Ste 4B , Fairmont WV 26554-1435. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Tayla Jo can be contacted via phone (304) 974-3297.

Contact Information

Primary practice address
1325 Locust Ave Ste 4B Fairmont WV 26554-1435
Phone: (304) 974-3297
Fax: (304) 974-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2723 West Virginia

Profile Details

NPI number 1578253001
LBN Legal business name Anderson, Tayla Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2023
Last updated Aug 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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