Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BECKY LYNN TANNER, NMD
Active Sole ProprietorDR. BECKY LYNN TANNER, NMD is a Primary Care Clinic healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1629295225 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1629295225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.287110853516 yrs)
- Last Updated
- Oct 17, 2008
- License
-
05-880 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1721 W COLORADO AVECOLORADO SPRINGS, CO, 809043809Browse CO providers · Browse ZIP 80904
- Phone
- 7199644732
- Fax
- 7196346469
- Primary Specialty
-
Primary Care Clinic
261QP2300X
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.