Individual provider · Type 1 NPI

Anitha Devi Tanam

Family Nurse Practitioner · Bedford, TX

NPI number 1629570080 Active

Practice location

601 N Industrial Blvd
Bedford, TX 76021-5234

Mailing address

4045 Legacy Trl
Carrollton, TX 75010-6441

Other practice locations

  • 5294 Belt Line Rd Ste 200, Dallas, TX 75254-7571 · (214) 785-2200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP136656 (TX)
Family Nurse Practitioner Primary 363LF0000XAP136656 (TX)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

Other family nurse practitioner providers in Bedford

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About NPI 1629570080

Anitha Devi Tanam's National Provider Identifier is 1629570080, issued on Mar 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bedford, TX. The record was last updated on Dec 12, 2025.