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Individual
TANNER RAPP
Active
Individual
TANNER RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61469690
WA
163WC1500X
Community Health Registered Nurse
RN60912791
WA
363LF0000X
Family Nurse Practitioner
AP61273001
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61273001
WA
Other
Enumeration date
10/05/2021
Last updated
11/22/2023
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