Individual provider · Type 1 NPI
Tiffany Jane Tanner, PA-C
Medical Physician Assistant · Basin, WY
NPI number
1902131980
Active
Practice location
806 Big Horn Ave W
Basin, WY 82410-9410
Fax (609) 250-9938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA1142 (WY) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1902131980
Tiffany Jane Tanner, PA-C's National Provider Identifier is 1902131980, issued on Oct 8, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Basin, WY. The record was last updated on Sep 14, 2026.