Provider Demographics
NPI:1336385525
Name:FINDLEY, TANJA K (FNP)
Entity type:Individual
Prefix:
First Name:TANJA
Middle Name:K
Last Name:FINDLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TANJA
Other - Middle Name:K
Other - Last Name:RANDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3401 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HIGGINSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64037-1877
Mailing Address - Country:US
Mailing Address - Phone:660-584-2192
Mailing Address - Fax:660-584-3771
Practice Address - Street 1:3401 PINE ST
Practice Address - Street 2:
Practice Address - City:HIGGINSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64037-1877
Practice Address - Country:US
Practice Address - Phone:660-584-2192
Practice Address - Fax:660-584-3771
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003016241363LF0000X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO599225901Medicaid
MO1336385525Medicaid
MO540568508Medicaid
MO595956400Medicaid
MO595956202Medicaid
MO010568509Medicaid
MO595956103Medicaid
MO595985805Medicaid
268549Medicare Oscar/Certification
261320Medicare Oscar/Certification
MO595956400Medicaid
MO1336385525Medicaid
MO595956103Medicaid
268548Medicare Oscar/Certification
DA4239Medicare PIN
P27000005Medicare PIN