Individual
TANNER WILLIAM DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1025 MAXWELL LN APT 417, HOBOKEN, NJ 07030-6824
(908) 442-6660
Mailing address
1025 MAXWELL LN APT 417, HOBOKEN, NJ 07030-6824
(908) 442-6660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15306800
NJ
363LF0000X
Family Nurse Practitioner
356513
NY
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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