Individual provider · Type 1 NPI

Casey Tanner, PNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1154076123 Active

Practice location

5461 Meridian Mark Rd Ste 570
Atlanta, GA 30342-2807

Fax (404) 785-6896

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN220734 (GA)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1154076123

Casey Tanner, PNP's National Provider Identifier is 1154076123, issued on Feb 17, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Feb 17, 2022.