Brandi Tanner
NPI #1962114850 in Elizabeth, West Virginia
Provider Information
- NPI Number
- 1962114850
- Entity Type
- Individual
- Name
- Brandi Tanner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 22, 2022
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 69 MAZE PLZ
- City
- Elizabeth
- State
- West Virginia
- ZIP Code
- 26143-5127
- Phone
- (304) 275-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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