Individual
DONNA TANNAHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
81709 DR CARREON BLVD STE C3, INDIO, CA 92201-5577
(760) 391-5151
(760) 391-5159
Mailing address
81767 DR CARREON BLVD, SUITE 201, INDIO, CA 92201-5597
(760) 775-4181
(760) 775-4818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23654
CA
Other
Enumeration date
07/14/2014
Last updated
12/23/2015
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