Individual
ELIZABETH MARIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 383, AVON, IN 46123-6914
(317) 217-2444
(317) 217-2449
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5570
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007554A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2017
Last updated
11/27/2023
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