Dr TANIYA CARPENTER is a female medical professional, specializing in Nurse Practitioner. She graduated in 1999.
POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC
402 RECOVERY RD
KENNETT
MO
638573235
Tel: 5738882831
| Npi | 1235257304 |
| Pac Id | 2365629714 |
| Professional Enrollment Id | I20110610000666 |
| Last Name | CARPENTER |
| First Name | TANIYA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC |
| Group Practice Pac Id | 5092769703 |
| Number Of Group Practice Members | 51 |
| Line 1 Street Address | 402 RECOVERY RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KENNETT |
| State | MO |
| Zip Code | 638573235 |
| Phone Number | 5738882831 |
| Hospital Affiliation Ccn 1 | 040020 |
| Hospital Affiliation Lbn 1 | ST BERNARDS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 260070 |
| Hospital Affiliation Lbn 2 | PEMISCOT COUNTY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 260119 |
| Hospital Affiliation Lbn 3 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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