Individual
MRS. TANNA MARIE VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 628-8300
(785) 623-4634
Mailing address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-5096
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55537
KS
Other
Enumeration date
09/13/2006
Last updated
03/02/2023
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