Individual
GABRIELLE MARIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HAGEN DR, ROCHESTER, NY 14625-2658
(585) 922-0150
Mailing address
30 HAGEN DR, ROCHESTER, NY 14625-2658
(585) 922-0150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341321
NY
Other
Enumeration date
02/05/2017
Last updated
02/23/2019
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