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Individual

MRS. BARBARA COLLINS TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
134 NORTH PIERCE STREET, MOREHEAD HIGH SCHOOL STUDENT HEALTH CENTER, EDEN, NC 27288
(336) 623-3699
(336) 623-3699
Mailing address
117 EAST KING HWY, EDEN, NC 27288
(336) 623-9711
(336) 623-2434

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200698
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1241L
BLUE CROSS BLUE SHIELD
NC
05
7000157
NC
Enumeration date
12/13/2006
Last updated
07/08/2007
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