MRS. MOYA TARA TALLEY (NPI# 1194172981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194172981 |
| Entity Type | Individual |
| Full Name | MRS. MOYA TARA TALLEY |
| Credential | NP |
| Practice Address |
25140 Austin Dr New Boston MI 48164-8907 |
| Practice Telephone | 3134615780 |
| Mailing Telephone | 3134615780 |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704327517 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4941 Heather Dr # C208, Dearborn, MI 481264135 | 3134615780 |
| Street Address |
25140 AUSTIN DR |
| City | NEW BOSTON |
| State | MI |
| Zip Code | 48164-8907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033545397 | Kimberly Ann Bailey | Social Worker | 18638 Lawrence Lane, New Boston, MI 48164 | 2013-09-18 |
| 1831378447 | Dario Merlos | Dentist | 37228 Huron River Dr, New Boston, MI 48164 | 2007-10-31 |
| 1275636342 | New Boston Dental Clinic PC | Dentist | 37228 Huron River Dr, New Boston, MI 48164-0217 | 2006-09-06 |
| 1205827383 | Paul Kent Voreis | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2005-10-29 |
| 1639700107 | Medpro Primary Care Pllc | Internal Medicine | 17901 Huron River Dr, New Boston, MI 48164-3200 | 2020-02-03 |
| 1972706513 | Voreis Eye Care, P.C. | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2007-06-11 |
| 1114441706 | Christina Erin Crutchfield | Speech-Language Pathologist | 23504 W Creek Dr, New Boston, MI 48164-7827 | 2017-07-26 |
| 1194964817 | Kristy Marie Cheslick | Occupational Therapist | 18655 Andrew Ln, New Boston, MI 48164-8915 | 2009-02-19 |
| 1861637266 | Duane Arthur Galloway | Registered Nurse | 26739 Trowbridge Sq, New Boston, MI 48164-8960 | 2008-12-13 |
| 1912556762 | Adam Liparoto | Nurse Practitioner | 27158 John Dr, New Boston, MI 48164-9048 | 2019-09-04 |
| Find all providers in zip 48164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1720473465 | Tina Cunningham | Nurse Practitioner | 1555 County Road 1102, New Boston, TX 75570-7575 | 2015-03-31 |
| 1386992923 | Sara Marie Mccullough | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662 | 2012-08-28 |
| 1023166295 | Gail Vanark | Nurse Practitioner | 82 Carriage Rd, New Boston, NH 03070-5137 | 2007-01-06 |
| 1437115805 | Mary P Stanley | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2006-04-25 |
| 1235126467 | Deborah S Flournoy | Nurse Practitioner | 304 W Us Highway 82, New Boston, TX 75570-2528 | 2005-10-03 |
| 1083616080 | Paul A Smith | Nurse Practitioner | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-08-10 |
| 1649890500 | Kaleigh Cheyenne Cline | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662-6002 | 2020-04-21 |
| 1508336470 | Christina Wade | Nurse Practitioner | 310 E Hoskins St, New Boston, TX 75570-2727 | 2018-12-04 |
| 1154730166 | Mary Dutchover | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2014-08-05 |
| Find all providers in NEW BOSTON | ||||
| City | NEW BOSTON |
| Zip Code | 48164 |
Please comment or provide details below to improve the information on MRS. MOYA TARA TALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.