person
Tanner David Free, DNP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1649949561

Tanner David Free is a Family Nurse Practitioner based in Elkhart, IN and is specialized in Family. Tanner David Free practices in Mishawaka, IN and has the professional credentials of DNP. The NPI Number for Tanner David Free is 1649949561 and holds a License No. 2021083835 (Indiana).

The current practice location address for Tanner David Free is 611 E Douglas Rd Ste 207, Mishawaka, IN and can be reached out via phone at 574-335-6850 and via fax at 574-335-0849.

Location: 611 E Douglas Rd Ste 207, Mishawaka, IN, 46516-5205
person
Provider Profile Details
NPI Number
1649949561
Provider Name
Tanner David Free
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 207, Mishawaka, IN, 46516-5205
Phone Number
574-335-6850
Fax Number
574-335-0849
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001618680 01 IN ANTHEM
000001618766 01 IN ANTHEM
300057259 05 IN
000001619023 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 207
City
State
Zip
46545-1467
Phone Number
574-335-6850
Fax Number
574-335-0849
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 207
City
State
Zip
46545-1467
Phone Number
574-335-6850
Fax Number
574-335-0849
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2021083835 (Indiana)
Definition
Definition to come...
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