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Individual

BARBARA DAWN TANNER-TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-02091
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46409572
NM
Enumeration date
12/18/2012
Last updated
02/08/2015
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