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NPI Code Detail

MEDICARE: HERBERT TANNER

MEDICARE: HERBERT TANNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1093647463
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERBERT TANNER
Provider Business Mailing Address
First Line : 3901 BRISCOE RUN RD
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-0002
Country : US
Telephone Number : 304-422-0776
Fax Number :
Provider Business Practice Location Address
First Line : 3901 BRISCOE RUN RD
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-0002
Country : US
Telephone Number : 304-422-0776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ HERBERT TANNER ” Practice Location

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