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Organization
NEVADA HEALTH TANITA PLLC
Active
Organization
NEVADA HEALTH TANITA PLLC
Active
Other names
HENDERSON WOMEN'S CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FRASER (PRACTICE ADMINISTRATOR)
(702) 847-6252
Entity
Organization
Contact information
Practice address
1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
(702) 847-6252
(702) 847-6254
Mailing address
650 S GREEN VALLEY PKWY STE 120, HENDERSON, NV 89052-0425
(702) 847-6252
(702) 847-6254
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250009085
—
NV
Enumeration date
03/11/2019
Last updated
03/03/2026
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