Anita L Tanner, PA
Physician Assistant, Medical in Bethany, OK. Individual provider (NPI-1).
NPI number1346206331
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1346206331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anita L Tanner
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Certification date
- Feb 10, 2020
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA693 | OK | Yes |
Practice location
6820 Nw 23rd StBethany, OK 73008
Phone 405-495-0070 · Fax 405-787-0062
Mailing address
2801 Parklawn DrSte 100
Midwest City, OK 73110-4224
Phone 405-495-0070 · Fax 405-787-0062
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