Hodge, Tanya Renee

Hodge, Tanya Renee is an sole proprietor health care provider with primary practice located at 12385 Sorrento Rd Ste D4 , Pensacola FL 32507-8656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Hodge, Tanya Renee can be contacted via phone (850) 495-9467.

Contact Information

Primary practice address
12385 Sorrento Rd Ste D4 Pensacola FL 32507-8656
Phone: (850) 495-9467
Fax: (850) 492-6347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2631892 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2631892 Florida

Profile Details

NPI number 1407998909
LBN Legal business name Hodge, Tanya Renee
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Dec 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407998909 NPPES
Florida MEDICAID 015171000
Florida Other Y7819

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