Tassell, Gaylen Q
Tassell, Gaylen Q is an individual health care provider with primary practice located at 12340 Bermuda Crossroad Ln , Chester VA 23831-2352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tassell, Gaylen Q can be contacted via phone (804) 287-4550.Contact Information
Primary practice address
12340 Bermuda Crossroad Ln
Chester VA 23831-2352
Phone: (804) 287-4550
Fax: (804) 717-8292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024164429 | Virginia |
Profile Details
| NPI number | 1861895336 |
|---|---|
| LBN Legal business name | Tassell, Gaylen Q |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2014 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861895336 | NPPES |
| Virginia | Other | C09633 | GROUP PTAN |
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