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Contact Information

ANITA L TANNER, PA
6820 NW 23RD ST
BETHANY, OK73008
 Phone: 405-495-0070
 Fax: 405-787-0062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANITA L TANNER · (Female)

NPI Number 1346206331
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/26/2006
Last updated 02/10/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # PA693
  • OK Medicaid 100132360A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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