National Provider Identifier
Tanya M Ettenberger, RN
Tanya M Ettenberger, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 734-6151.
Profile Overview
- NPI
- 1679702450
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- July 14, 2009
- Last Updated
- July 14, 2009
Practice Location
- 711 Sullivan St
- Elmira, NY 14901-2322
Phone: (607) 734-6151
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1679702450
- Entity Type
- Individual
- Last Name
- Ettenberger
- First Name
- Tanya
- Middle Name
- M
- Credential
- RN
- Mailing Street Address
- 711 Sullivan St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2322
- Mailing Country
- US
- Mailing Phone
- (607) 734-6151
- Mailing Fax
- (607) 734-2943
- Practice Street Address
- 711 Sullivan St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2322
- Practice Country
- US
- Practice Phone
- (607) 734-6151
- Practice Fax
- (607) 734-2943
- Enumeration Date
- July 14, 2009
- Last Updated
- July 14, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)