Individual
ELIZABETH TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 687-6353
Mailing address
4010 AERIAL WAY, EUGENE, OR 97402-9757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10060375
OR
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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