Individual
DR. NADINE D TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3011 CERES AVE, SUITE 100, CHICO, CA 95973-7898
(530) 899-7090
(530) 899-2765
Mailing address
PO BOX 209, CHICO, CA 95927-0209
(530) 899-7090
(530) 899-2765
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2006009470
MO
207RN0300X
Nephrology Physician
Primary
A110240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201082203
—
MO
05
—
PENDING
—
CA
Enumeration date
07/25/2006
Last updated
01/20/2010
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