Wellformed AI

NPI 1508987207 · live from the CMS NPI Registry

Tanya Richelle Durant, RN

Registered Nurse, General Practice in Plymouth Meeting, PA. National Provider Identifier 1508987207, active.

NPI record

NPI1508987207 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, General Practice 163WG0000X
Practice location2250 Hickory Rd, 240, Plymouth Meeting, PA 19462
Practice phone610-834-1122
Mailing address405 Wickes Road, Bushkill, NJ 18324
EnumeratedApril 2, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice primary163WG0000X26nr11012300 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.