IndividualActive
Anita Tanner, PA
NPI 1346206331 · Medical Physician Assistant · Bethany, OK
Provider details
- NPI number
- 1346206331
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- License
- PA693 (OK)
Practice location
6820 Nw 23rd St
Bethany, OK 73008
Phone: (405) 495-0070
Fax: (405) 787-0062
Mailing address
2801 Parklawn Dr
Midwest City, OK 73110-4224
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.