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Contact Information

AMANDA L TANNER, CNM
7356 STOCKMAN ST
CHEYENNE, WY82009-6006
 Phone: 307-632-3399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1346905874
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 10/31/2021
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # C-APN.0003391-C-CNM
  • CO License # C-RXN.0001685-C-CNM
  • WY License # 48730
  • WY License # CS04520
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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