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

Coreen Tanner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972095859

Coreen Tanner is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Maine. Qualified in 2020, 6 years ago. Practices with Amoskeag Anesthesia PLLC, a 166-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
6
Licensed in
ME
In the registry since
2018
Specialties on file
2

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA203057 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972095859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 21, 2022
Certification dateSeptember 17, 2020
Mailing address22 Bramhall St, Portland, ME 04102-3134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Amoskeag Anesthesia Pllc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland