Individual
MRS. DEBRA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 S 52ND ST # NE68506, LINCOLN, NE 68506-1304
(206) 795-3475
Mailing address
1535 S 52ND ST, LINCOLN, NE 68506-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67212
NE
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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