Tanner, Tanya S

Tanner, Tanya S is an individual health care provider with primary practice located at 80 Garden Ctr Ste 138 , Broomfield CO 80020-1790. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tanner, Tanya S can be contacted via phone (720) 415-0101.

Contact Information

Primary practice address
80 Garden Ctr Ste 138 Broomfield CO 80020-1790
Phone: (720) 415-0101
Fax: (833) 907-2210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2154 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0996437-NP Colorado

Profile Details

NPI number 1437147444
LBN Legal business name Tanner, Tanya S
Credentials PHD APN CNM PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 13th, 2023 - about 3 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 1437147444 NPPES
Colorado MEDICAID 90409523

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