Individual
TANYA NAFATYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4513 SPRINGSIDE LN, CHARLOTTE, NC 28226-3337
(704) 622-4488
Mailing address
4513 SPRINGSIDE LN, CHARLOTTE, NC 28226-3337
(704) 840-9084
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
171594
NC
Other
Enumeration date
12/22/2014
Last updated
10/27/2020
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