Doctor Name: | PAMELA TANNER-MURAY |
NPI Number: | 1396941506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 193595-3102 |
Business Practice Address: | 471 S Main St Ste 4 Moab, UT - 845322980 |
Business Phone Number: | 4352595602 |
Business Fax Number: | |
Mailing Address: | Po Box E, MOAB |
State: | UT |
Postal Code: | 845321127 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP1700X |
License Number: | 193595-3102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |