Individual provider · Type 1 NPI
Mary R. Tanney, CRNP
Nurse Practitioner · Philadelphia, PA
Practice location
3550 Market St, Adolescent Care Center - 4th Floor
Philadelphia, PA 19104-3329
Fax (215) 590-0426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | TP001695D (PA) |
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 1740263904
Mary R. Tanney, CRNP's National Provider Identifier is 1740263904, issued on Nov 22, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.