Individual
MS. TANYA A FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
ROSEBUD IHS HOSPITAL, HWY 18 SOLDIER CREEK ROAD, ROSEBUD, SD 57570
(605) 747-2231
(605) 747-2216
Mailing address
ROSEBUD IHS HOSPITAL, HWY 18 SOLDIER CREEK ROAD, ROSEBUD, SD 57570
(605) 747-2231
(605) 747-2216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60768
NE
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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