Individual
DEBORAH TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
198 S CORONADO DR, SUITE A, SIERRA VISTA, AZ 85635-6354
(520) 417-0542
(520) 417-0581
Mailing address
3709 N CAMPBELL AVE, STE 201, TUCSON, AZ 85719-1563
(520) 624-8935
(520) 838-2266
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP3006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336100
—
AZ
Enumeration date
05/05/2008
Last updated
12/21/2017
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