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NPI Code Detail

MEDICARE: TANYA ANN CARR NP

MEDICARE: TANYA ANN CARR NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTN

General Provider Information

NPI Number : 1770411621
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA ANN CARR NP
Provider Business Mailing Address
First Line : 940 TAPESTRY WAY APT 4310
Second Line :
City : KNOXVILLE
State : TN
Zip : 37932-3540
Country : US
Telephone Number : 865-712-8891
Fax Number :
Provider Business Practice Location Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 423-559-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ TANYA ANN CARR NP” Practice Location

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