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Contact Information

PENNY L TANNER, PHD, ARNP, PMHNP-BC
38103 MOUNTAIN HWY E
EATONVILLE, WA98328-9202
 Phone: 253-581-6106
 Fax: 360-832-6211
 Website:
 

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
Indicates primary specialty

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

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
  • WA License # 0186312
  • WA License # 0196961
  • WA License # 0367419
  • WA License # AP30003045
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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