Individual
MARY RYAN TINNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1946 9TH AVE, PORT ARTHUR, TX 77642-2762
(409) 982-0082
(409) 982-3641
Mailing address
443 W BUCCANEER DR, WINNIE, TX 77665-7927
(907) 947-3184
(409) 982-3641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
872789
TX
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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