Krienke, Tally

Krienke, Tally is an individual health care provider with primary practice located at 700 N Sam Houston Pkwy W , Houston TX 77067-4335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Krienke, Tally can be contacted via phone (832) 828-1005.

Contact Information

Primary practice address
700 N Sam Houston Pkwy W Houston TX 77067-4335
Phone: (832) 828-1005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM620 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP138712 Texas

Profile Details

NPI number 1881146892
LBN Legal business name Krienke, Tally
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Dec 13th, 2018 - about 8 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 1881146892 NPPES
North Carolina MEDICAID 1881146892

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