Warren, Tyisha Tameka

Warren, Tyisha Tameka is an sole proprietor health care provider with primary practice located at 6330 Newtown Rd Ste 630 , Norfolk VA 23502-4802. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Warren, Tyisha Tameka can be contacted via phone (757) 266-2834.

Contact Information

Primary practice address
6330 Newtown Rd Ste 630 Norfolk VA 23502-4802
Phone: (757) 266-2834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1215688171
LBN Legal business name Warren, Tyisha Tameka
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215688171 NPPES
Virginia Other 49D2248193 CLIA

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