Individual
ASHLEY S TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10800 PANAMA CITY BEACH PKWY STE 300, PANAMA CITY BEACH, FL 32407-2532
(850) 250-5790
(850) 266-6301
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170966
OH
363A00000X
Physician Assistant
Primary
PA9116371
FL
Other
Enumeration date
08/07/2019
Last updated
01/15/2025
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