Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanya F Revor, APRN-FNP

Individual provider Family Nurse Practitioner · NPI 1700396959

Tanya F Revor, APRN-FNP is a Nurse Practitioner in Elizabethtown, Kentucky. Qualified in 2017, 9 years ago. Practices with Central Medical Associates PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
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Practice location Address checks out

1321 Ring Rd Ste 107
Elizabethtown, KY 42701-8940
Phone: (270) 986-7392
Fax: (270) 900-1131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09170158 (KY)

Record details

NPI number1700396959
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Central Medical Associates Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elizabethtown