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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215688171 | NPPES |
| Virginia | Other | 49D2248193 | CLIA |
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