Traylor, Tandalaya M

Traylor, Tandalaya M is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Traylor, Tandalaya M can be contacted via phone (662) 377-2531.

Contact Information

Primary practice address
830 S Gloster St Tupelo MS 38801-4934
Phone: (662) 377-2531
Fax: (662) 377-2920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R869243 Mississippi
Nursing Service Providers / Registered Nurse 163W00000X R869243 Mississippi

Profile Details

NPI number 1578851325
LBN Legal business name Traylor, Tandalaya M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2011
Last updated Aug 10th, 2011 - about 15 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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