Penny Leah Tanner, PHD, ARNP, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Eatonville, Washington. Penny Leah Tanner is licensed to practice in Washington (license number AP30003045) and her current practice location is
38103 Mountain Hwy E, Eatonville, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 581-6106.
NPI number for Penny Leah Tanner is 1922156645 and her current mailing address is 38103 Mountain Hwy E, Eatonville, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922156645.
Healthcare Provider's Profile
| Full Name | Penny Leah Tanner |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 38103 Mountain Hwy E, Eatonville, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922156645
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 01/22/2026
Medical Identifiers
Medical identifiers for Penny Leah Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922156645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | AP30003045 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP30003045 (Washington) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0367419 (Washington) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 0196961 (Washington) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0186312 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Penny Leah Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Penny Leah Tanner, PHD, ARNP, PMHNP-BC 38103 Mountain Hwy E, Eatonville, WA 98328-9202 Ph: (253) 581-6106 | Penny Leah Tanner, PHD, ARNP, PMHNP-BC 38103 Mountain Hwy E, Eatonville, WA 98328-9202 Ph: (253) 581-6106 |
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