Taylor, Tyra L
Taylor, Tyra L is an individual health care provider with primary practice located at 2 Maple Tree Ct Bon Secours Ob-Gyn, Greenville SC 29615-4068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Taylor, Tyra L can be contacted via phone (864) 516-1190.Contact Information
Primary practice address
2 Maple Tree Ct Bon Secours Ob-Gyn
Greenville SC 29615-4068
Phone: (864) 516-1190
Fax: (864) 516-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 19181 | South Carolina |
Profile Details
| NPI number | 1174920847 |
|---|---|
| LBN Legal business name | Taylor, Tyra L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174920847 | NPPES |
| South Carolina | MEDICAID | NP3008 |
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