SUSAN TANNER APRN NPI 1932537511

NPI Information

NPI: 1932537511
Provider Name: SUSAN TANNER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11499 BARTLETT AVE
ADELANTO, CA
ZIP 92301
Phone: (760) 444-4258
Get Directions

Susan Tanner, APRN is a family nurse practitioner in Adelanto, CA. Susan Tanner, APRN NPI is 1932537511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11499 BARTLETT AVE
ADELANTO, CA
ZIP 92301-902
Phone: (760) 444-4258
Fax: (760) 530-9977

The NPI 1932537511 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 10/17/2013 and was last updated on 10/18/2023.

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		RN78518	NEVADA	No
2	363LF0000X	Nurse Practitioner	Family	RN199226	GEORGIA	No
3	363LF0000X	Nurse Practitioner	Family	23395	CALIFORNIA	No
4	363LF0000X	Nurse Practitioner	Family	20147	SOUTH CAROLINA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	20147	SOUTH CAROLINA	No
6	363LF0000X	Nurse Practitioner	Family	APRN001698	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1932537511	MEDICAID	NEVADA

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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