Tyonna Nicole Price, CNA

Individual provider Active NPI Contractor · Simpsonville, SC

NPI 1255824199 · NPPES record last updated Jun 13, 2018

Key facts

NPI
1255824199
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
10 Capewood Rd Apt 225
Simpsonville, SC 29680-2770
Phone
(352) 255-6743
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

10 Capewood Rd Apt 225
Simpsonville, SC 29680-2770

Mailing address

10 Capewood Rd Apt 225
Simpsonville, SC 29680-2770
Phone (352) 255-6743

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · Contractor in South Carolina

Sources for this page

Verify at the official NPI Registry.