Individual
AMANDA LEIGH TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7356 STOCKMAN ST, CHEYENNE, WY 82009-6006
(307) 632-3399
Mailing address
3614 PATRICK RD, CHEYENNE, WY 82007-1177
(307) 369-3608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CS04520
WY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
48730
WY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
C-APN.0003391-C-CNM
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
C-RXN.0001685-C-CNM
CO
Other
Enumeration date
10/31/2021
Last updated
02/14/2023
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