| NPI | 1821417031 |
|---|---|
| Former Name | MEAGAN ALLISSA TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125366) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP125366) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125366) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-11-15 |