Individual
MRS. TANYA LEA BACH-STYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155469
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051242
—
NC
01
—
P00600556
RAILROAD MEDICARE
NC
Enumeration date
11/07/2006
Last updated
05/20/2021
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