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Individual

JOANNE L TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
101 N STATE ST, MINUTE CLINIC, CLARKS SUMMIT, PA 18411-1055
(570) 587-1205
Mailing address
101 N STATE ST, MINUTE CLINIC, CLARKS SUMMIT, PA 18411-1055
(570) 587-1205

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024167883
VA
363LF0000X
Family Nurse Practitioner
F330813-1
NY
363LF0000X
Family Nurse Practitioner
Primary
SP011353
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001212410
VIRGINIA REGISTERED NURSE LICENSE
VA
01
0024167883
VIRGINIA NURSE PRACTITIONER LICENSE
VA
01
0229047-22
ANCC
NY
01
327036-1
STATE LICENSE
NY
01
F330813-1
STATE LICENSE
NY
01
RN621843
STATE LICENSE
PA
01
SP011353
CRNP STATE LICENSE
PA
Enumeration date
09/25/2006
Last updated
12/13/2016
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