Individual
ALEXA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
26215 RIDGE RD, DAMASCUS, MD 20872-1829
(301) 253-1100
(301) 825-5163
Mailing address
6455 S WIND CIR, COLUMBIA, MD 21044-6016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R206585
MD
Other
Enumeration date
07/27/2015
Last updated
12/12/2025
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