Katie L Tanner, PA
Katie L Tanner, PA is a Physician Assistant in Lisbon, North Dakota. Qualified in 1994, 32 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.
- Years since qualifying
- 32
- Licensed in
- ND
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
819 Main StLisbon, ND 58054-4244
Phone: (701) 683-4134
Fax: (701) 683-4094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PAC0102 (ND) |
|---|
Record details
| NPI number | 1225013634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 8, 2005 |
| Last updated in NPPES | September 12, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Innovis Health Llc — 573 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lisbon
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Bruce D Larson, PAC
819 Main St, Lisbon, ND 58054-4244 · (701) 683-4134
-
Carly Jo Schultz, PA-C
819 Main St, Lisbon, ND 58054-4244 · (701) 683-4134
-
Stacey Maria Walton, PA-C
10 9th Ave E, Lisbon, ND 58054-4738 · (701) 683-4711