Individual
CHRISTINA L TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6400
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-6942
(740) 356-7851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1099532
KY
367500000X
Certified Registered Nurse Anesthetist
COA.12654-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076316
—
OH
01
—
1099532
KY MEDICAL LICENSE
KY
05
—
7100411890
—
KY
Enumeration date
09/29/2011
Last updated
12/17/2021
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