Individual
TANYA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
341 E CLAREMONT RD, PHILADELPHIA, PA 19120-1015
(267) 984-6063
Mailing address
341 E CLAREMONT RD, PHILADELPHIA, PA 19120-1015
(267) 984-6063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN5344444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42973601
—
PA
Enumeration date
02/18/2020
Last updated
02/20/2020
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