NPI | 1891862298 |
---|---|
Professional Name | TANNA C. SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 6080) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006080) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2018-03-12 |