IndividualActive
Angela Tanner
NPI 1629798111 · Licensed Practical Nurse · Augusta, ME
Provider details
- NPI number
- 1629798111
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN13319 (ME)
Specialties & taxonomies
Nursing Service Providers
Practice location
151 Capitol St Ste 4
Augusta, ME 04330-6262
Phone: (207) 512-8549
Approximate (ZIP-level) locationGet directions
Mailing address
151 Capitol St Ste 4
Augusta, ME 04330-6262
Registry dates
- Enumerated
- 2022-09-02
- Last updated
- 2022-09-02
- Certified
- 2022-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.