MEDICARE: TANNY PURUGGANAN

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	106H00000X	Marriage & Family Therapist	LMFT118882	CA

General Provider Information

NPI Number	:	1720329857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANNY PURUGGANAN

Provider Business Mailing Address
First Line	:	1331 E VALENCIA RD
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-9311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 E VALENCIA RD
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-9311
Country	:	US
Telephone Number	:	619-890-2407
Fax Number	:

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

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	05/24/2024

Similar Medicare Providers

1366438855 — DR. STEPHEN E SMITH M.D.
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-8655
Practice Fax: 239-936-8683

1659340917 — DR. PAUL R BROWN M.D.
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-8655
Practice Fax: 239-936-8683

1760442677 — STEPHEN E SMITH MD PA
Practice Location Address:

4225 EVANS AVE
FORT MYERS, FL
33901-9311

Practice Phone: 239-936-7685
Practice Fax: 239-936-8683

1295824852 — STANDING ROCK SIOUX TRIBE
Practice Location Address:

9311 HIGHWAY 24
FORT YATES, ND
58538-9621

Practice Phone: 701-854-3452
Practice Fax:

1962711036 — DR. LARRY EDWIN BRADLEY D.O.
Practice Location Address:

7016 RIVERPORT RD
FORT WORTH, TX
76116-9311

Practice Phone: 817-738-4288
Practice Fax:

1720474638 — RACHAEL CUTTER OTR/L
Practice Location Address:

5 LAMPLIGHTER ACRES
FORT EDWARD, NY
12828-9311

Practice Phone: 518-796-7785
Practice Fax:

Directions to “ TANNY PURUGGANAN ” 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 © 2007-2025 (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.