Doctor Name: | MRS. TYRA LAWANDA TANNER |
NPI Number: | 1326340928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, ANP, CNS, MSN |
License Number: | 2010029866 |
Business Practice Address: | 10310 Memory Ln Suite 100 B Chesterfield, VA - 238328828 |
Business Phone Number: | 8045861965 |
Business Fax Number: | 8046164378 |
Mailing Address: | Po Box 2947, CHESTERFIELD |
State: | VA |
Postal Code: | 238329118 |
Phone Number: | 8045861965 |
Fax Number: | 8046164378 |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2010029866 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |