Provider Demographics
NPI:1205644655
Name:NDLOVU, TARYN
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:NDLOVU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 SAGE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-3671
Mailing Address - Country:US
Mailing Address - Phone:205-463-7685
Mailing Address - Fax:
Practice Address - Street 1:244 SAGE MEADOWS DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-3671
Practice Address - Country:US
Practice Address - Phone:205-463-7685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty