Individual provider · Type 1 NPI

Alexa Tanner, NP-C

Nurse Practitioner · Damascus, MD

NPI number 1497130801 Active

Practice location

26215 Ridge Rd
Damascus, MD 20872-1829

Fax (301) 825-5163

Mailing address

6455 S Wind Cir
Columbia, MD 21044-6016

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR206585 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497130801

Alexa Tanner, NP-C's National Provider Identifier is 1497130801, issued on Jul 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Damascus, MD. The record was last updated on Dec 12, 2025.