Organization · Type 2 NPI

Penny Leah Tanner, P.s.

Psychiatric/Mental Health Nurse Practitioner · Eatonville, WA

NPI number 1396390845 Active

Practice location

38103 Mountain Hwy E
Eatonville, WA 98328-9202

Fax (360) 832-6211

Other practice locations

  • 2747 Pacific Ave SE Ste B19, Olympia, WA 98501-2094 · (253) 581-6106

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396390845

Penny Leah Tanner, P.s.'s National Provider Identifier is 1396390845, issued on Aug 1, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eatonville, WA. The record was last updated on Jan 22, 2026.