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Individual
PENNY LEAH TANNER
Active
Individual
PENNY LEAH TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AP30003045
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0367419
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003045
WA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
0196961
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0186312
WA
Other
Enumeration date
01/08/2007
Last updated
01/22/2026
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