DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIANA NICOLE TANNER, PA-C

Active

BRIANA NICOLE TANNER, PA-C is a Physician Assistant healthcare provider located in GRANDVILLE, Michigan. NPI 1669004404 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANDVILLE, MI

Registration Details

NPI Number
1669004404
Provider Type
Individual
Gender
Female
NPI Issued
Feb 10, 2020 (6.4992808887057 yrs)
Last Updated
Apr 6, 2022
License
5601010171 (MI)

Practice Information

Address
3185 MACATAWA DR SW STE A
GRANDVILLE, MI, 494183184
Browse MI providers · Browse ZIP 49418
Phone
6163914500
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRANDVILLE, MI

Name Credential NPI
SUZAN JANE NOFFSINGER P.A. 1962477547
TRACI NGUYEN PA-C 1356394860
MRS. MOLLY R DUIVEN PA C 1922032606
MRS. AMBER E KINTIGH PAC 1780619791
MR. RONALD W REUSCH PA C 1528085040
MR. KURT VANDERVEEN PA-C 1407941396
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.