Individual
TANYA FEDYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 MAIN ST, SACO, ME 04072-1530
(207) 571-7991
(207) 571-7990
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004984
CO
363A00000X
Physician Assistant
Primary
PA2408
ME
Other
Enumeration date
07/05/2017
Last updated
03/05/2024
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