Maddy, Tanya Ann
Maddy, Tanya Ann is an individual health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Maddy, Tanya Ann can be contacted via phone (304) 256-4100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 105016 | West Virginia |
Profile Details
| NPI number | 1083250963 |
|---|---|
| LBN Legal business name | Maddy, Tanya Ann |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2019 |
| Last updated | Nov 26th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083250963 | NPPES |
| West Virginia | Other | AG11190009 | AANP |
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