Most Relevant Information
Provider Data
| NPI Number: | 1003216417 |
| Provider Name: | TANYA SHIPLEY RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 81284 |
Most Important Dates
| Enumeration Date: | 09/04/2014 |
| Last Updated: | 09/04/2014 |
Provider Practice Location
1020 DUTCH FORK RD
IRMO
SC
290638822
Practice Location Phone/Fax
| Phone: | 8034768000 |
| Fax: |
Provider Mailing Location
1020 DUTCH FORK RD
IRMO
SC
290638822
Provider Mailing Phone/Fax
| Phone: | 8034768000 |
| Fax: |