Individual
TANYA MARIE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2316 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 742-1567
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2138
(765) 742-1567
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71012761A
IN
Other
Enumeration date
07/19/2022
Last updated
07/25/2024
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