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NPI Code Detail

MEDICARE: MRS. TANYA RENEE CALL FNP

MEDICARE: MRS. TANYA RENEE CALL FNP
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
1363L00000XNurse Practitioner107016WV
2363LF0000XFamily Nurse Practitioner107016WV

General Provider Information

NPI Number : 1083216287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TANYA RENEE CALL FNP
Provider Business Mailing Address
First Line : 5336 BARKER RIDGE RD
Second Line :
City : MILTON
State : WV
Zip : 25541-6933
Country : US
Telephone Number : 304-562-2011
Fax Number : 304-562-2013
Provider Business Practice Location Address
First Line : 3109 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1318
Country : US
Telephone Number : 304-562-2011
Fax Number : 304-562-2013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2020
Last Update Date : 04/15/2026

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