Individual provider · Type 1 NPI

Tanya Leal Condiano, PA-C

Medical Physician Assistant · Davidson, NC

NPI number 1093461246 Active

Practice location

108 S Main St Ste C
Davidson, NC 28036-8096

Call (980) 259-2498 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-14179 (NC)

Medical Physician Assistant: Definition to come...

About NPI 1093461246

Tanya Leal Condiano, PA-C's National Provider Identifier is 1093461246, issued on Feb 25, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Davidson, NC. The record was last updated on Jul 28, 2026.