Individual
OLGA C TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 E BRANT CIR, WASILLA, AK 99654-2520
(907) 355-7026
(907) 338-7162
Mailing address
1255 E BRANT CIR, WASILLA, AK 99654-2520
(907) 355-7026
(907) 338-7162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
1759790
AK
Other
Enumeration date
08/27/2012
Last updated
12/02/2025
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