Individual
PAMELA SUE TANNER
Active
Individual
PAMELA SUE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
503950
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
503950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503950
NURSING LICENSE
TX
Enumeration date
10/10/2006
Last updated
09/11/2025
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