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Individual
TANYA ANN MADDY
Active
Individual
TANYA ANN MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105016
WV
363LP2300X
Primary Care Nurse Practitioner
105016
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG11190009
AANP
WV
Enumeration date
11/26/2019
Last updated
05/20/2025
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