NPI Profile for PENNY L TANNER in EATONVILLE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Mental Health |
101YM0800X | |||
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist | |
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1922156645 |
|
| Status | Active | |
| Credentials | PHD, ARNP, PMHNP-BC | |
| Entity | Individual | |
| Enumeration date | 01/08/2007 | |
| Last updated | 01/22/2026 - About 5 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PENNY L TANNER
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