Individual
TYNEDALY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2306 PLANK RD STE 200, FREDERICKSBURG, VA 22401-4902
(540) 785-9900
Mailing address
2306 PLANK RD STE 100, FREDERICKSBURG, VA 22401-4902
(540) 785-9900
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024189629
VA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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