Katie L Tanner in Lisbon - Physician Assistant
Katie L Tanner - NPI 1225013634
Katie L Tanner is a Physician Assistant in Lisbon, North Dakota. Katie L Tanner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katie L Tanner is 1225013634. The last update date is 2019-09-12.
Katie L Tanner's current location address is 819 Main St, Lisbon, North Dakota. You can contact this provider via phone number 7016834134 and fax number 7016834094. The mailing address for Katie L Tanner is 819 Main St, Lisbon, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie L Tanner |
|---|---|
| Address | 819 Main St, Lisbon, North Dakota |
| Phone Number | 7016834134 |
| Fax Number | 7016834094 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1225013634 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2019-09-12 |
Provider Mailing Address Detail
| Address | 819 Main St |
|---|---|
| City | Lisbon |
| State | North Dakota (ND) |
| Post Code | 580544244 |
| Phone Number | 7016834134 |
| Fax Number | 7016834094 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PAC0102 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5171 | ND | -- | |
| 19659 | ND | NDBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Katie L Tanner by the Centers for Medicare & Medicaid Services?
The Katie L Tanner has been assigned the NPI (National Provider Identifier) 1225013634 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Katie L Tanner is physically located?
The Katie L Tanner is physically situated at the following address: 819 Main St, Lisbon, ND, 580544244.
What is Katie L Tanner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katie L Tanner is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Katie L Tanner's 1225013634 issued?
The Katie L Tanner's 1225013634 was issued on 2005-12-08.
When was the Katie L Tanner's information last updated?
The Katie L Tanner's information was last updated on 2019-09-12.
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