IndividualActive
Coreen Tanner
NPI 1972095859 · Certified Registered Nurse Anesthetist · Portland, ME
Provider details
- NPI number
- 1972095859
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2526
Approximate (ZIP-level) locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2022-07-21
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.