Individual
HANNAH GRACE TANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 416-4000
Mailing address
PO BOX 7909, LONGVIEW, TX 75607-7909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
894182
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1070026
TX
Other
Enumeration date
10/04/2021
Last updated
05/01/2022
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