Tyuanna Stanley Ross, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fort Rucker, AL

NPI

1558615013

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

2-055088 (AL)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-11-06

Last updated

2012-11-06