Individual
DR. TYRA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RD, ANP, CNS
Contact information
Practice address
9401 COURTHOUSE RD, STE 202, CHESTERFIELD, VA 23832-6687
(804) 616-4378
(804) 616-4378
Mailing address
PO BOX 2947, CHESTERFIELD, VA 23832-9118
(804) 616-4378
(804) 616-4378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2010029866
MO
163W00000X
Registered Nurse
0001206597
VA
363L00000X
Nurse Practitioner
0024172296
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172296
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024172296
VA
364SA2200X
Adult Health Clinical Nurse Specialist
0015000947
VA
Other
Enumeration date
12/02/2010
Last updated
04/03/2025
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