MRS. TRACY MARIE TETRAULT TANNER APRN
NPI 1992305585
Nurse Practitioner - Family in Bedford, NH

Active since November 01, 2020

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Tracy Marie Tetrault Tanner Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY MARIE TETRAULT TANNER APRN (NPI 1992305585) is an individual family provider in Bedford, New Hampshire, licensed in New Hampshire (040065-23) and active in the NPI registry since November 2020. She maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1992305585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRACY MARIE TETRAULT TANNERCredential: APRN
Location Address188 NH 101Bedford, NH 03110-5451
Mailing Address314 Chauncey AveManchester, NH 03104-1506 · (603) 315-0159
Sole ProprietorNo
Enumeration DateNovember 1, 2020
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1992305585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NH · 040065-23
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 04006521 (NH)
188 NH 101, Bedford, NH 03110

Secondary Practice Location 1

Location 1314 Chauncey AveManchester, NH 03104-1506 · Phone (603) 315-0159

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
188 NH 101
BEDFORD, NH 03110
Nurse Practitioner (Family)
188 NH 101
BEDFORD, NH 03110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Tetrault Tanner's NPI number?

The NPI number for Tracy Tetrault Tanner is 1992305585. It was assigned to this individual provider in the NPPES registry on November 1, 2020.

Where is Tracy Tetrault Tanner located?

Tracy Tetrault Tanner practices at 188 Nh 101, Bedford, NH 03110. The listed phone number is (603) 663-8052.

What is Tracy Tetrault Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tracy Tetrault Tanner was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.