DAVID BRYAN TANIS DNP PMHNP-BC NPI 1598372807

NPI Information

NPI: 1598372807
Provider Name: DAVID BRYAN TANIS, DNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SATINDER S PUREWAL MD LLC

PECOS Registration: Yes

Address:
1655 N TEGNER ST
WICKENBURG, AZ
ZIP 85390
Phone: (928) 684-3926
Get Directions

David Bryan Tanis, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Wickenburg, AZ with 4 years of experience. David Bryan Tanis, DNP, PMHNP-BC NPI is 1598372807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1655 N TEGNER ST
WICKENBURG, AZ
ZIP 85390-461
Phone: (928) 684-3926

The NPI 1598372807 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 9/30/2020 and was last updated on 10/8/2021.

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	163W00000X	Registered Nurse		RN209918	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	254061	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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