VAN E. TANNER P.A. NPI 1902815426

NPI Information

NPI: 1902815426
Provider Name: VAN E. TANNER, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4411 BEN FRANKLIN BLVD.
DURHAM, NC
ZIP 27704
Phone: (919) 477-0047
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Van E. Tanner, P.A. is a medical physician assistant in Durham, NC with 24 years of experience. Van E. Tanner, P.A. NPI is 1902815426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

4411 BEN FRANKLIN BLVD.
DURHAM, NC
ZIP 27704-147
Phone: (919) 477-0047
Fax: (919) 477-6919

The NPI 1902815426 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	103093	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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