Individual provider · Type 1 NPI

Christian Dale Tanner, FNP-C

Family Nurse Practitioner · St. Joseph, MO

NPI number 1790294007 Active

Practice location

5001 Lake Ave
St. Joseph, MO 64504-1170

Mailing address

18400 SE Highway 371
Dearborn, MO 64439-8161

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2017035200 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1790294007

Christian Dale Tanner, FNP-C's National Provider Identifier is 1790294007, issued on Sep 29, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Joseph, MO. The record was last updated on Sep 29, 2017.