Provider Demographics
NPI:1477124592
Name:MCGREW, TYNAYA LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:TYNAYA
Middle Name:LYNN
Last Name:MCGREW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1543
Mailing Address - Country:US
Mailing Address - Phone:251-439-7882
Mailing Address - Fax:251-432-9013
Practice Address - Street 1:1610 CENTER ST STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1543
Practice Address - Country:US
Practice Address - Phone:251-439-7882
Practice Address - Fax:251-432-9013
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-167703163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse