Brandi Tanner, - Licensed Practical Nurse in Elizabeth, WV

Brandi Tanner, is a Licensed Practical Nurse based in Elizabeth, West Virginia. Brandi Tanner is licensed to practice in West Virginia (license number 32203) and her current practice location is 69 Maze Plz, Elizabeth, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 275-5001.

NPI number for Brandi Tanner is 1962114850 and her current mailing address is 69 Maze Plz, Elizabeth, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962114850.

Contact Information

Brandi Tanner,
69 Maze Plz,
Elizabeth, WV 26143-5127
(304) 275-5001
Not Available



Provider's Profile

Full NameBrandi Tanner
GenderFemale
SpecialityLicensed Practical Nurse
Location69 Maze Plz, Elizabeth, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962114850
  • Provider Enumeration Date: 12/22/2022
  • Last Update Date: 12/22/2022

Medical Identifiers

Medical identifiers for Brandi Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962114850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 32203 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi Tanner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandi Tanner,
69 Maze Plz,
Elizabeth, WV 26143-5127

Ph: (304) 275-5001
Brandi Tanner,
69 Maze Plz,
Elizabeth, WV 26143-5127

Ph: (304) 275-5001

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Elizabeth, WV

Raven Winter Hamilton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 69 Maza Plaza, Elizabeth, WV 26143
Phone: 304-275-5001    
Stormy Lynn Orr, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 69 Maze Plz, Elizabeth, WV 26143
Phone: 304-275-5001    

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