| NPI | 1427438829 |
|---|---|
| Former Name | BREANNA M TANLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17379-NP) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17379) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-09-23 |