Provider Demographics
NPI:1982891149
Name:TINSLEY, TARYN ELISABETH (BA)
Entity type:Individual
Prefix:MS
First Name:TARYN
Middle Name:ELISABETH
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-3449
Mailing Address - Country:US
Mailing Address - Phone:804-301-6127
Mailing Address - Fax:
Practice Address - Street 1:4125 WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-3449
Practice Address - Country:US
Practice Address - Phone:804-301-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies