Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanya Willard, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1003465865

Tanya Willard, NURSEPRACTITIONER is a Family Nurse Practitioner in Salem, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone: (540) 982-2463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F08191103 (VA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 0001226555 (VA)

Record details

NPI number1003465865
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address5218 Green Meadow Rd, Roanoke, VA 24018-3304

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