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NPI Code Detail

MEDICARE: CATHERIN TANNER RN, APRN

MEDICARE: CATHERIN TANNER RN, APRN
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
1261QP0905XState or Local Public Health Clinic/Center372NV

General Provider Information

NPI Number : 1629451323
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERIN TANNER RN, APRN
Provider Business Mailing Address
First Line : 1001 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2845
Country : US
Telephone Number : 775-328-2470
Fax Number :
Provider Business Practice Location Address
First Line : 1001 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2845
Country : US
Telephone Number : 775-328-2470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 06/30/2015

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