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

Travis Tanner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265371363

Travis Tanner is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone: (602) 249-0212
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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 number1265371363
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address1412 N Center St Apt 1, Mesa, AZ 85201-2607

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