Tanis, Kathryn

Tanis, Kathryn is an individual health care provider with primary practice located at 883 Lead Ave Se Ste A, Albuquerque NM 87102-3644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Tanis, Kathryn can be contacted via phone (505) 247-8820.

Contact Information

Primary practice address
883 Lead Ave Se Ste A Albuquerque NM 87102-3644
Phone: (505) 247-8820
Fax: (505) 246-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X CNP00550 New Mexico

Profile Details

NPI number 1720031453
LBN Legal business name Tanis, Kathryn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720031453 NPPES
New Mexico MEDICAID 51452715

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