Individual
TANNER COLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
851 E 5TH ST STE 108, WASHINGTON, MO 63090-3128
(636) 861-7870
Mailing address
851 E 5TH ST STE 108, WASHINGTON, MO 63090-3128
(636) 861-7870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019026701
MO
363LF0000X
Family Nurse Practitioner
Primary
2024031599
MO
Other
Enumeration date
05/28/2024
Last updated
08/21/2024
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