Tanyiska Fonda, NP-C Valid NPI

Individual provider · Nurse Practitioner · Dothan, AL

NPI

1528415478

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

1-104056 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2016-05-20

Last updated

2017-05-09