# TANYA S MASSEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891791513
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 71004573A | IN | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 02/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000358295 | ANTHEM | KY |
| 05 | — | 78013661 | — | KY |