Individual
TANYA ELISE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
8145 CEREBELLUM WAY, 102, TRINITY, FL 34655-1788
(727) 845-4999
Mailing address
8145 CEREBELLUM WAY, 102, TRINITY, FL 34655-1788
(727) 845-4999
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9198997
FL
Other
Enumeration date
07/07/2015
Last updated
07/08/2015
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