Healthcare Provider Details

I. General information

NPI: 1922927284
Provider Name (Legal Business Name): TAYA PARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAYA WALSTON

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 LONGVIEW AVE
TARBORO NC
27886-2518
US

IV. Provider business mailing address

1602 LONGVIEW AVE
TARBORO NC
27886-2518
US

V. Phone/Fax

Practice location:
  • Phone: 252-469-6077
  • Fax:
Mailing address:
  • Phone: 252-469-6077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: