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Individual
TYNISHA DUSHUN HERDER-DUNCAN
Active
Individual
TYNISHA DUSHUN HERDER-DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN556108
PA
171400000X
Health & Wellness Coach
—
—
376G00000X
Nursing Home Administrator
PA-NH007914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041364520-0001
—
PA
Enumeration date
12/22/2023
Last updated
12/22/2023
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