Maddy, Tanya Ann

Maddy, Tanya Ann is an individual health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3397. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maddy, Tanya Ann can be contacted via phone (304) 256-4100.

Contact Information

Primary practice address
1710 Harper Rd Beckley WV 25801-3397
Phone: (304) 256-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 105016 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 105016 West Virginia

Profile Details

NPI number 1083250963
LBN Legal business name Maddy, Tanya Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated May 20th, 2025 - about last year

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 1083250963 NPPES
West Virginia Other AG11190009 AANP

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