Individual
MRS. CALLIE DANIELLE TAYRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PHILIP ROTH ST, NEWPORT NEWS, VA 23606-1393
(757) 873-6434
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024182883
VA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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