| Doctor Name: | TANYA L SLEEPER |
| NPI Number: | 1164765640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CNP101075 |
| Business Practice Address: | 163 Van Buren Rd Caribou, ME - 047363567 |
| Business Phone Number: | 2074981394 |
| Business Fax Number: | 2074981669 |
| Mailing Address: | 163 Van Buren Rd, CARIBOU |
| State: | ME |
| Postal Code: | 047363567 |
| Phone Number: | 2074981394 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | CNP101075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |