| Doctor Name: | MS. TANYA ANN PRATT-DOCTRY |
| NPI Number: | 1699965624 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA14491 |
| Business Practice Address: | 1500 Terrace St Hinton, WV - 259519768 |
| Business Phone Number: | 3044662918 |
| Business Fax Number: | 3044662929 |
| Mailing Address: | 1500 Terrace St, HINTON |
| State: | WV |
| Postal Code: | 259519768 |
| Phone Number: | 3044662918 |
| Fax Number: | 3044662929 |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 11/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA14491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |