Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PENNY LEAH TANNER, P.S.
Active
Organization
PENNY LEAH TANNER, P.S.
Active
Other names
Bridgeport Behavioral Health, AIM BEHAVIORAL HEALTH SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY L TANNER ARNP,PH.D.,PMHNP-BC (P.S)
(253) 581-6106
Entity
Organization
Contact information
Practice address
38103 MOUNTAIN HWY E, EATONVILLE, WA 98328-9202
(253) 581-6106
(360) 832-6211
Mailing address
38103 MOUNTAIN HWY E, EATONVILLE, WA 98328-9202
(253) 581-6106
(360) 832-6211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
01/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up