Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE L TANNER, PA
ActiveKATIE L TANNER, PA is a Physician Assistant healthcare provider located in LISBON, North Dakota. NPI 1225013634 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LISBON, ND
Registration Details
- NPI Number
- 1225013634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2005 (20.536277319888 yrs)
- Last Updated
- Sep 12, 2019
- License
-
PAC0102 (ND)
Practice Information
- Address
-
819 MAIN STLISBON, ND, 580544244Browse ND providers · Browse ZIP 58054
- Phone
- 7016834134
- Fax
- 7016834094
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LISBON, ND
| Name | Credential | NPI |
|---|---|---|
| STACEY MARIA WALTON | PA-C | 1801868062 |
| BRUCE D LARSON | PAC | 1265470371 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.