MRS. TIFFANY TANNER, PA-C
Physician Assistant
Active
Individual
NPI: 1902131980
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA1142 (WY) |
Frequently Asked Questions
NPI 1902131980 is the National Provider Identifier for MRS. TIFFANY TANNER, PA-C, a Physician Assistant provider located in Basin, WY. This NPI was enumerated on October 8, 2009.
MRS. TIFFANY TANNER, PA-C practices at 525 NORTH 5TH STREET, Basin, WY 82410.
Quick Facts
- NPI
- 1902131980
- Type
- Individual
- Enumerated
- Oct 8, 2009
- Last Updated
- May 21, 2024
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