Individual
ELIZABETH W TANNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1874 BELTLINE RD SW, SUITE 300, DECATUR, AL 35601-5514
(256) 350-9700
(256) 350-9797
Mailing address
PO BOX 548, DECATUR, AL 35602-0548
(256) 350-9700
(256) 350-9797
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-099396
AL
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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