Alexa Tanner, NP-C | |
26215 Ridge Rd, Damascus, MD 20872-1829 | |
(301) 253-1100 | |
(301) 825-5163 |
Full Name | Alexa Tanner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 26215 Ridge Rd, Damascus, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497130801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R206585 (Maryland) | Primary |
Entity Name | Dal Dermatology, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689950610 PECOS PAC ID: 0840465779 Enrollment ID: O20111205000594 |
Mailing Address | Practice Location Address |
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Alexa Tanner, NP-C 7275 Swan Point Way, Columbia, MD 21045-5052 Ph: () - | Alexa Tanner, NP-C 26215 Ridge Rd, Damascus, MD 20872-1829 Ph: (301) 253-1100 |
Irene Mah Mebune, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10407 Damascus Park Ln, Damascus, MD 20872 Phone: 301-675-4792 | |
Ms. Judith Stevens Moriarty, CNM, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26005 Ridge Rd, #200, Damascus, MD 20872 Phone: 301-414-2300 | |
Miranda Sanborn, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Clearwater Ct, Damascus, MD 20872 Phone: 301-253-1862 | |
Ms. Dominique Nicole Shaw, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26005 Ridge Rd Ste 200, Damascus, MD 20872 Phone: 301-414-2300 | |
Mrs. Christine Deslauriers, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10959 Middleboro Dr, Damascus, MD 20872 Phone: 301-370-6334 |