Provider Demographics
NPI:1306560032
Name:TWYMAN, TASHAUNA ZINAY
Entity type:Individual
Prefix:
First Name:TASHAUNA
Middle Name:ZINAY
Last Name:TWYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 23RD PKWY APT 604
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4465
Mailing Address - Country:US
Mailing Address - Phone:240-708-1393
Mailing Address - Fax:
Practice Address - Street 1:4311 23RD PKWY APT 604
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4465
Practice Address - Country:US
Practice Address - Phone:240-708-1393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR251678163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse