Individual
TANYA RENEA ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BIG BRANCH RD, WAYNE, WV 25570-9417
(304) 638-9165
Mailing address
355 BIG BRANCH RD, WAYNE, WV 25570-9417
(304) 638-9165
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
64567
WV
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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