Matthew Jason Tanner
NPI #1396395067 in Logansport, Indiana
Provider Information
- NPI Number
- 1396395067
- Entity Type
- Individual
- Name
- Matthew Jason Tanner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 16, 2019
- Last Updated
- Sep 16, 2019
Practice Location
- Address
- 1015 MICHIGAN AVE
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1526
- Phone
- (574) 722-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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