| Penny Leah Tanner, P.s. | |
|
7424 Bridgeport Way W Ste 302 Lakewood WA 98499-8135 | |
| (253) 581-6106 | |
| (253) 581-6275 |
| Full Name | Penny Leah Tanner, P.s. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7424 Bridgeport Way W Ste 302, Lakewood, Washington |
| Authorized Official Name and Position | Penny L Tanner (NURSE PRACTITIONER) |
| Authorized Official Contact | 2535816106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Leah Tanner, P.s. 7424 Bridgeport Way W Ste 302 Lakewood WA 98499-8135 Ph: (253) 581-6106 | Penny Leah Tanner, P.s. 7424 Bridgeport Way W Ste 302 Lakewood WA 98499-8135 Ph: (253) 581-6106 |
| NPI Number | 1396390845 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396390845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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