Individual
ELIZABETH TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3955 ALEXANDRIA PIKE, COLD SPRING, KY 41076-2027
(859) 442-8700
(859) 442-8718
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2989
(513) 351-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009149
KY
363LP0200X
Pediatric Nurse Practitioner
NP07116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2592207
—
OH
Enumeration date
06/29/2006
Last updated
10/13/2025
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