Healthcare Provider Details

I. General information

NPI: 1083216287
Provider Name (Legal Business Name): TANYA RENEE CALL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TANYA RENEE RYDER FNP

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 TEAYS VALLEY RD
HURRICANE WV
25526-1318
US

IV. Provider business mailing address

5336 BARKER RIDGE RD
MILTON WV
25541-6933
US

V. Phone/Fax

Practice location:
  • Phone: 304-562-2011
  • Fax: 304-562-2013
Mailing address:
  • Phone: 304-562-2011
  • Fax: 304-562-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number107016
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number107016
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: