Individual
ALAN TAYAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14421 LIGHTNER RD, HAYMARKET, VA 20169-2510
(571) 274-7007
Mailing address
14421 LIGHTNER RD, HAYMARKET, VA 20169-2510
(571) 274-7007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001276573
VA
163W00000X
Registered Nurse
RN1047639
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024193460
VA
Other
Enumeration date
05/06/2025
Last updated
05/07/2025
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