Elizabeth Park Tanner, M.D.
Internal Medicine in Fort Washington, MD. Individual provider (NPI-1).
NPI number1083096366
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1083096366
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Park Tanner
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2015
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D91656 | MD | Yes |
| 207R00000X | Internal Medicine | LP03517 | RI |
Practice location
950 E Swann Creek RdFort Washington, MD 20744-5250
Phone 301-292-7270 · Fax 301-292-6432
Mailing address
24035 Three Notch RdHollywood, MD 20636-4871
Phone 301-373-7900 · Fax 301-373-6900
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