License holder summary

PHYLLIS TANNER is a Home Health Aide licensed to practice in Indiana. The address on file for PHYLLIS TANNER is FORT WAYNE IN 46805.

Indiana

State Board of Nursing

PHYLLIS TANNER
Home Health Aide
License number
HHA0004289
Date expires
01/14/2014
Class
Home Health Aide
Status
Active
Address
FORT WAYNE IN 46805
nursingindiana.org
ID 12052280
LAST UPDATED 2024-03-11 21:22:22 UTC

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