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Individual

MS. TANYA K BINFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1213 CULBRETH DR, WILMINGTON, NC 28405-3639
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
242941
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242941
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN RN095667
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
839717
AZ AHCCCS
AZ
Enumeration date
09/28/2006
Last updated
09/15/2015
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