# DR. TANA FRIESTH PERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942696901
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 94-08716 | KS | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD-46134 | IA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 08/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026211300 | — | NE |
| 05 | — | 1942696901 | — | IA |
| 05 | — | 47068731777 | — | NE |