Individual
WALTER TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
301 WRIGHT ST, TUSKEGEE, AL 36083-1558
(334) 727-5900
(334) 727-5909
Mailing address
235 GOSSOM SWITCH RD, WETUMPKA, AL 36092-8578
(334) 452-1250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-100246
AL
Other
Enumeration date
10/21/2020
Last updated
11/21/2024
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