Individual
MRS. TANIA L ADDESS
Active
Individual
MRS. TANIA L ADDESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7586
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114417
RN LICENSE
TN
01
—
7586
APN TN LICENSE
TN
Enumeration date
11/09/2010
Last updated
11/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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