Individual
MS. MIRIAM BARBARA TANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 NOXON ST, POUGHKEEPSIE, NY 12601-4101
(845) 471-1540
(845) 471-1644
Mailing address
796 CAMBY RD, MILLBROOK, NY 12545-6209
(845) 677-3935
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360255-1
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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