Individual
MS. TANYA STANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7 BLANCHARD CIR STE 102, WHEATON, IL 60189-2038
(630) 682-0500
(630) 682-1078
Mailing address
7 BLANCHARD CIR STE 102, WHEATON, IL 60189-2038
(630) 682-0500
(630) 682-1078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016609
IL
363LF0000X
Family Nurse Practitioner
209.016609
IL
Other
Enumeration date
10/19/2017
Last updated
08/31/2021
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