| 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 |