Individual provider · Type 1 NPI

Michelle Tanner, FNP

Family Nurse Practitioner · Henderson, NV

NPI number 1083011308 Active

Practice location

2380 W Horizon Ridge Pkwy, Suite 110
Henderson, NV 89052-5078

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7836957-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1083011308

Michelle Tanner, FNP's National Provider Identifier is 1083011308, issued on Dec 2, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Henderson, NV. The record was last updated on Dec 10, 2015.