Massey, Tanya S

Massey, Tanya S is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Massey, Tanya S can be contacted via phone (317) 338-1111.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004573A Indiana

Profile Details

NPI number 1891791513
LBN Legal business name Massey, Tanya S
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 11th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891791513 NPPES
Kentucky Other 000000358295 ANTHEM
Kentucky MEDICAID 78013661 ANTHEM

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