Individual
TANAYA BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
32 MAVIS DR, CLENDENIN, WV 25045-6229
(304) 444-1380
Mailing address
32 MAVIS DR # 32, CLENDENIN, WV 25045-6229
(304) 444-1380
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
119843
WV
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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