NPI Registry.org

Tanner Canova

NPI Registration Record

Provider / OrganizationNPIDate Certified
TANNER CANOVA13963916372021-07-12

Tanner Canova is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396391637. Registration indicates Tanner Canova is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Tanner Canova
Practice Office Address5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA US
Practice Office Telephone5158759450
Practice Office Fax5158759457
Mailing Address7147 VISTA DR STE 150
WEST DES MOINES, IA 502669317 US
Business Telephone5158759255
Business Fax5158759223
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
108441
IA
OPI Codes

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