Provider Demographics
NPI:1992571228
Name:BEERS, TANYA MARIE (RN)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:BEERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:MARIE
Other - Last Name:CARGILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN61179098
Mailing Address - Street 1:117 HILLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8455
Mailing Address - Country:US
Mailing Address - Phone:360-630-3480
Mailing Address - Fax:
Practice Address - Street 1:1810 STATE HIGHWAY 508
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WA
Practice Address - Zip Code:98570-9636
Practice Address - Country:US
Practice Address - Phone:360-330-9595
Practice Address - Fax:360-330-9530
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61179098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse