Most Relevant Information
Provider Data
| NPI Number: | 1003327834 |
| Provider Name: | TANYA STANN NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.016609 |
Most Important Dates
| Enumeration Date: | 10/19/2017 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
7 BLANCHARD CIR STE 102
WHEATON
IL
601892038
Practice Location Phone/Fax
| Phone: | 6306820500 |
| Fax: | 6306821078 |
Provider Mailing Location
7 BLANCHARD CIR STE 102
WHEATON
IL
601892038
Provider Mailing Phone/Fax
| Phone: | 6306820500 |
| Fax: | 6306821078 |