Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TIFFANY JANE TANNER, PA-C
ActiveMRS. TIFFANY JANE TANNER, PA-C is a Physician Assistant healthcare provider located in BASIN, Wyoming. NPI 1902131980 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BASIN, WY
Registration Details
- NPI Number
- 1902131980
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2009 (16.862449962173 yrs)
- Last Updated
- May 21, 2024
- License
-
PA1142 (WY)
Practice Information
- Address
-
525 NORTH 5TH STREETBASIN, WY, 82410Browse WY providers · Browse ZIP 82410
- Phone
- 3075683700
- Fax
- 3075862217
- Primary Specialty
-
Physician Assistant
363A00000X
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.