Individual
DONALD EDWIN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1120 NE BANNER DR, LEES SUMMIT, MO 64086-6715
(816) 207-9099
Mailing address
1120 NE BANNER DR, LEES SUMMIT, MO 64086-6715
(816) 207-9099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023041401
MO
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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