Brandi Tanner, | |
69 Maze Plz, Elizabeth, WV 26143-5127 | |
(304) 275-5001 | |
Not Available |
Full Name | Brandi Tanner |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 69 Maze Plz, Elizabeth, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962114850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 32203 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Brandi Tanner, 69 Maze Plz, Elizabeth, WV 26143-5127 Ph: (304) 275-5001 | Brandi Tanner, 69 Maze Plz, Elizabeth, WV 26143-5127 Ph: (304) 275-5001 |
Raven Winter Hamilton, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 69 Maza Plaza, Elizabeth, WV 26143 Phone: 304-275-5001 | |
Stormy Lynn Orr, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 69 Maze Plz, Elizabeth, WV 26143 Phone: 304-275-5001 |