| Walter Tanner, CRNP | |
|
301 Wright St, Tuskegee, AL 36083-1558 | |
| (334) 727-5900 | |
| (334) 727-5909 |
| Full Name | Walter Tanner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 301 Wright St, Tuskegee, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063011005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-100246 (Alabama) | Primary |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
| Entity Name | Aikam Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033540232 PECOS PAC ID: 3375772700 Enrollment ID: O20140206000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Tanner, CRNP 235 Gossom Switch Rd, Wetumpka, AL 36092-8578 Ph: (334) 452-1250 | Walter Tanner, CRNP 301 Wright St, Tuskegee, AL 36083-1558 Ph: (334) 727-5900 |
Ms. Shannon L Crews, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550 | |
Ms. Peggy J. Hall, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550 | |
Mr. Chancey Perico Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550 | |
Miss Angelia Elaine Clayton, CERTIFIED NURSE PRAC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-727-0550 Fax: 334-727-2508 | |
Lashanda M Foster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd, Tuskegee, AL 36083 Phone: 334-296-8889 | |
Ms. Brenda G Moon, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Rd # 62-221, Tuskegee, AL 36083 Phone: 334-727-0550 Fax: 334-724-6858 |