Tucker, Bronya Kay

Tucker, Bronya Kay is an individual health care provider with primary practice located at 1325 Locust Ave , Fairmont WV 26554-1435. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tucker, Bronya Kay can be contacted via phone (304) 367-7100.

Contact Information

Primary practice address
1325 Locust Ave Fairmont WV 26554-1435
Phone: (304) 367-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 50676 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50676 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 50676 West Virginia

Profile Details

NPI number 1972745156
LBN Legal business name Tucker, Bronya Kay
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Nov 18th, 2020 - 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 1972745156 NPPES
West Virginia Other 50676 LICENSE

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