Tanner, Elizabeth

Tanner, Elizabeth is an individual health care provider with primary practice located at 1955 Dixie Hwy Ste N , Ft Wright KY 41011-2792. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tanner, Elizabeth can be contacted via phone (859) 341-6255.

Contact Information

Primary practice address
1955 Dixie Hwy Ste N Ft Wright KY 41011-2792
Phone: (859) 341-6255
Fax: (859) 547-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP07116 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009149 Kentucky

Profile Details

NPI number 1942238019
LBN Legal business name Tanner, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 6th, 2022 - about 2 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 1942238019 NPPES
Ohio MEDICAID 2592207

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