Marlen Tanner, RD | |
2598 Main St, Morro Bay, CA 93442-1553 | |
(805) 591-0712 | |
(833) 264-5898 |
Full Name | Marlen Tanner |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2598 Main St, Morro Bay, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871828962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | CDR# 929304 (California) | Primary |
Provider Name | Marlena Tanner Rdn Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942716626 PECOS PAC ID: 1355768631 Enrollment ID: O20200901002076 |
Mailing Address | Practice Location Address |
---|---|
Marlen Tanner, RD 5860 Santa Rosa Creek Rd, Cambria, CA 93428-3534 Ph: (805) 591-0712 | Marlen Tanner, RD 2598 Main St, Morro Bay, CA 93442-1553 Ph: (805) 591-0712 |
Ms. Sarah Nicole Kessner, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 | |
Kelsey Marie Mccourt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-225-7302 | |
Emily Banser, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-305-9911 Fax: 833-264-5898 | |
Candice Allysha Rodriguez, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1274 Scott St, Morro Bay, CA 93442 Phone: 530-906-8919 | |
Ms. Cameron Jung-fagan, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 | |
Marlena Tanner, Rdn, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-305-9911 Fax: 833-264-5898 |