Anthony T Tanner
Anthony T Tanner is a Nurse Practitioner in Hurley, Mississippi. Qualified in 2011, 15 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 15
- Licensed in
- MN
- In the registry since
- 2012
Practice location Address checks out
7001 Hwy 614Hurley, MS 39555
Phone: (228) 588-2938
Fax: (228) 588-9399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence R205397-4 (MN) |
|---|
Record details
| NPI number | 1275804270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 23, 2012 |
| Last updated in NPPES | April 12, 2020 |
| Certification date | April 12, 2020 |
| Mailing address | Po Box 850, Hurley, MS 39555-0850 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Memorial Hospital At Gulfport — 470 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |