Individual
NATHANIEL FREEMAN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HYGEIA DR STE 1360, NEWARK, DE 19713-2049
(302) 623-1929
(302) 368-7943
Mailing address
200 HYGEIA DR STE 1360, NEWARK, DE 19713-2049
(302) 623-1929
(302) 368-7943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001340
DE
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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