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Individual
SUSAN TANNER
Active
Individual
SUSAN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN78518
NV
363LF0000X
Family Nurse Practitioner
20147
SC
363LF0000X
Family Nurse Practitioner
23395
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN001698
NV
363LF0000X
Family Nurse Practitioner
RN199226
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
20147
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932537511
—
NV
Enumeration date
10/17/2013
Last updated
10/18/2023
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