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Contact Information

TIFFANY J TANNER, PA-C
525 NORTH 5TH STREET
BASIN, WY82410
 Phone: 307-568-3700
 Fax: 307-586-2217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIFFANY J TANNER · (Female)

NPI # 1902131980
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/08/2009
Last updated 05/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WY License # PA1142
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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