Individual
PATRICIA V TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9159 FRANKTOWN ROAD, FRANKTOWN, VA 23354
(757) 442-4819
Mailing address
PO BOX 1039, NASSAWADOX, VA 23413-1039
(757) 414-0400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001196717
VA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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