Individual
GINGER LYNN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(334) 255-7733
Mailing address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(334) 255-7733
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1-091823
AL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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