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

Koren Tanner, CRPA-P-8510

Individual provider Peer Specialist · NPI 1356263974

Koren Tanner, CRPA-P-8510 is a Peer Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1007 Quentin Rd
Brooklyn, NY 11223-2341
Phone: (929) 218-3256
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CRPA-P-8510 (NY)

Record details

NPI number1356263974
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRPA-P-8510
Sole proprietorYes
NPI enumeratedJuly 27, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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