Individual provider · Type 1 NPI

Tanya Willard, NURSE PRACTITIONER

Family Nurse Practitioner · Salem, VA

NPI number 1003465865 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Mailing address

5218 Green Meadow Rd
Roanoke, VA 24018-3304

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF08191103 (VA)
Emergency Registered Nurse 163WE0003X0001226555 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1003465865

Tanya Willard, NURSE PRACTITIONER's National Provider Identifier is 1003465865, issued on Sep 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, VA. The record was last updated on Oct 19, 2023.