Individual
RACHEL TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
14330 OAKHILL PARK LN STE 200, HUNTERSVILLE, NC 28078-3407
(704) 316-4830
(704) 316-4831
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011521
NC
Other
Enumeration date
04/03/2018
Last updated
10/26/2020
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