| Jordan Tanner, 95091873 RN | |
|
10877 Conductor Blvd Ste 300, Sutter Creek, CA 95685-9688 | |
| (209) 223-6412 | |
| Not Available |
| Full Name | Jordan Tanner |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 10877 Conductor Blvd Ste 300, Sutter Creek, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265255475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95091873 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Tanner, 95091873 RN 10877 Conductor Blvd Ste 300, Sutter Creek, CA 95685-9688 Ph: (209) 223-6412 | Jordan Tanner, 95091873 RN 10877 Conductor Blvd Ste 300, Sutter Creek, CA 95685-9688 Ph: (209) 223-6412 |
Renee Michelle Paul, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10877 Conductor Blvd, Ste 300, Sutter Creek, CA 95685 Phone: 209-223-6412 Fax: 209-223-0920 | |
Liesl Corrin Renfree, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10877 Conductor Blvd Ste 300, Sutter Creek, CA 95685 Phone: 209-223-6412 Fax: 209-223-0920 | |
Teresa Karnow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10877 Conductor Blvd, Sutter Creek, CA 95685 Phone: 209-223-6412 | |
Mrs. Diane L Suitos, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10877 Conductor Blvd, Sutter Creek, CA 95685 Phone: 209-223-6412 |