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NPI Code Detail

MEDICARE: MS. TANYA L. GHYSELS N.P-C

MEDICARE:  MS. TANYA L. GHYSELS  N.P-C
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
1363LF0000XFamily Nurse PractitionerCOA.11526-NPOH

General Provider Information

NPI Number : 1730490681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TANYA L. GHYSELS N.P-C
Provider Business Mailing Address
First Line : 660 SHEDBORNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45403-3143
Country : US
Telephone Number : 937-305-5578
Fax Number :
Provider Business Practice Location Address
First Line : 6438 WILMINGTON PIKE
Second Line : SUITE 110
City : DAYTON
State : OH
Zip : 45459-7010
Country : US
Telephone Number : 937-848-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 07/19/2012

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Directions to “ MS. TANYA L. GHYSELS N.P-C” Practice Location

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