| Tanya De La Vergne, MD | |
| 
					1402 Grand Ave, Washington, IN 47501  | |
| (812) 257-0383 | |
| (812) 257-7072 | 
| Full Name | Tanya De La Vergne | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1402 Grand Ave, Washington, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063562973 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 29393 (Alabama) | Secondary | 
| 208000000X | Pediatrics | 01082422A (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tanya De La Vergne, MD Po Box 760, Washington, IN 47501-0760 Ph: (812) 254-7310  | Tanya De La Vergne, MD 1402 Grand Ave, Washington, IN 47501 Ph: (812) 257-0383  | 
Mrs. Norma J Kreilein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 Grand Ave, Washington, IN 47501 Phone: 812-254-7310 Fax: 812-257-8602  | |
Kiran Burla, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1401 Memorial Ave Ste C, Washington, IN 47501 Phone: 812-254-2872  |