Individual provider · Type 1 NPI
Kelsey Tanis
Gerontology Nurse Practitioner · Cleveland, OH
NPI number
1366326647
Active
Practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
2098 Wascana Ave
Lakewood, OH 44107-6130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0039808 (OH) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366326647
Kelsey Tanis's National Provider Identifier is 1366326647, issued on Aug 1, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cleveland, OH. The record was last updated on Nov 21, 2025.