Holly K Tanner, is a
Psychologist - School based in Arimo, Idaho. Holly K Tanner is licensed to practice in Idaho (license number ) and her current practice location is
150 S Front St, Arimo, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 317-3899.
NPI number for Holly K Tanner is 1720669955 and her current mailing address is Po Box 29, Arimo, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720669955.
Healthcare Provider's Profile
| Full Name | Holly K Tanner |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 150 S Front St, Arimo, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720669955
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 04/19/2021
Medical Identifiers
Medical identifiers for Holly K Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720669955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly K Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Holly K Tanner,
Po Box 29,
Arimo, ID 83214-0029
Ph: (208) 317-3899 | Holly K Tanner,
150 S Front St,
Arimo, ID 83214-7726
Ph: (208) 317-3899 |
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