Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Tanner MD, PC

Organization Pediatric Adolescent Medicine Physician · NPI 1013184159

Alice Tanner MD, PC is a Pediatric Adolescent Medicine Physician in Glen Burnie, Maryland. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4058
Phone: (410) 768-2231
Fax: (410) 760-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1013184159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Tanner — Pediatrician/Practice Owner · (410) 768-2231
NPI enumeratedMay 8, 2008
Last updated in NPPESMay 8, 2008
Mailing address1406 Crain Hwy S, Suite 104, Glen Burnie, MD 21061-4058

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