MEDICARE: MRS. BRANDY RENEE TANNER L.P.N.

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
1	164W00000X	Licensed Practical Nurse	PN.151620-M-IV	OH
2	164W00000X	Licensed Practical Nurse	33980	WV

General Provider Information

NPI Number	:	1346604840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRANDY RENEE TANNER L.P.N.

Provider Business Mailing Address
First Line	:	5255 BOWER RIDGE DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8067
Country	:	US
Telephone Number	:	614-364-1790
Fax Number	:

Provider Business Practice Location Address
First Line	:	5255 BOWER RIDGE DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8067
Country	:	US
Telephone Number	:	614-364-1790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2016
Last Update Date	:	04/11/2016

Similar Medicare Providers

1073471728 — JEANETTE LOUISE HINES
Practice Location Address:

6304 FENCE ROW LN
CANAL WINCHESTER, OH
43110-9789

Practice Phone: 614-649-7951
Practice Fax:

1831621184 — GINNY A ISAQ CNM, WHNP-BC
Practice Location Address:

3601 GENDER RD
CANAL WINCHESTER, OH
43110-9739

Practice Phone: 614-235-5555
Practice Fax:

1871358606 — CHELSEA BROOKE INDIANO LSW, LPC
Practice Location Address:

36 N HIGH ST
CANAL WINCHESTER, OH
43110-1109

Practice Phone: 614-832-1274
Practice Fax:

1861855322 — ISATU SAMURA
Practice Location Address:

3456 QUINLAN BLVD
CANAL WINCHESTER, OH
43110-9120

Practice Phone: 614-218-9158
Practice Fax: 614-218-9205

1518826635 — REGINA MASSAQUOI
Practice Location Address:

5379 COBLE PARK DR
CANAL WINCHESTER, OH
43110-3504

Practice Phone: 614-897-4426
Practice Fax:

1063898229 — JANELL JONES LISW
Practice Location Address:

7440 MAPLE SPICE AVE
CANAL WINCHESTER, OH
43110-8073

Practice Phone: 614-946-6475
Practice Fax:

Directions to “ MRS. BRANDY RENEE TANNER L.P.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.