Individual
DR. TANYA S TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD APN CNM PMHNP-BC
Contact information
Practice address
80 GARDEN CTR STE 138, BROOMFIELD, CO 80020-1790
(720) 415-0101
(833) 907-2210
Mailing address
11164 CHEROKEE ST, NORTHGLENN, CO 80234-3918
(303) 918-9828
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0996437-NP
CO
367A00000X
Advanced Practice Midwife
2154
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90409523
—
CO
Enumeration date
10/12/2005
Last updated
05/13/2023
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