Individual
CAITLIN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
NBII TAMPA 3825 HENDERSON BLVD, TAMPA, FL 33629
(281) 769-3906
Mailing address
6611 HAYTER DR, LAKELAND, FL 33813-3578
(863) 670-1640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11016920
FL
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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