Individual provider · Type 1 NPI

Van E. Tanner, P.A.

Medical Physician Assistant · Durham, NC

NPI number 1902815426 Active

Practice location

4411 Ben Franklin Blvd.
Durham, NC 27704-2147

Call (919) 477-0047 Map

Fax (919) 477-6919

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X103093 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1902815426

Van E. Tanner, P.A.'s National Provider Identifier is 1902815426, issued on Aug 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Durham, NC. The record was last updated on Jul 8, 2015.