Individual provider · Type 1 NPI
Becky Lynn Tanner, NMD
Primary Care Clinic/Center · Colorado Springs, CO
NPI number
1629295225
Active
Practice location
1721 W Colorado Ave
Colorado Springs, CO 80904-3809
Fax (719) 634-6469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 05-880 (AZ) |
Primary Care Clinic/Center: Definition to come...
About NPI 1629295225
Becky Lynn Tanner, NMD's National Provider Identifier is 1629295225, issued on Apr 18, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 20, 2026.