person
Tanetta C Main, RN,FNP
Family Nurse Practitioner in Oskaloosa, Iowa
NPI 1770548075

Tanetta C Main is a Family Nurse Practitioner based in Fairfield, IA and is specialized in Family. Tanetta C Main practices in Oskaloosa, IA and has the professional credentials of RN,FNP. The NPI Number for Tanetta C Main is 1770548075 and holds a License No. A-112035 (Iowa).

The current practice location address for Tanetta C Main is 410 N 12Th St, Oskaloosa, IA and can be reached out via phone at 641-672-3360.

Location: 410 N 12Th St, Oskaloosa, IA, 52556-9572
person
Provider Profile Details
NPI Number
1770548075
Provider Name
Tanetta C Main
Credential
RN,FNP
Provider Entity Type
Individual
Gender
Female
Address
410 N 12Th St, Oskaloosa, IA, 52556-9572
Phone Number
641-672-3360
Fax Number
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36800048 01 BCBS
540568508 05 MO
595956103 05 MO
599225901 05 MO
420721300 05 MO
010568509 05 MO
36800018 01 BCBS
595956202 05 MO
595956400 05 MO
595985805 05 MO
institution
Provider Business Practice Location Address Details
Address
410 N 12Th St
City
State
Zip
52577-2495
Phone Number
641-672-3360
Fax Number
person
Provider Business Mailing Address Details
Address
410 N 12Th St
City
State
Zip
52577-2495
Phone Number
641-672-3360
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A-112035 (Iowa)
Definition
Definition to come...
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