Individual
TANA LYNN VESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1025 W IRONWOOD DR, COEUR D ALENE, ID 83814-3160
(208) 667-2600
Mailing address
1025 W IRONWOOD DR, COEUR D ALENE, ID 83814-3160
(208) 667-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60600640
WA
363LF0000X
Family Nurse Practitioner
Primary
NP-1646A
ID
Other
Enumeration date
10/20/2015
Last updated
01/05/2020
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