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

Tanner Clarke Austin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962293720

Tanner Clarke Austin is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1962293720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address17179 W Tara Ln, Surprise, AZ 85388-1239

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