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Individual
KRISTA M. TANNERY
Active
Individual
KRISTA M. TANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60112541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205166295
NPI
—
Enumeration date
01/13/2010
Last updated
05/13/2026
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