# NEVADA HEALTH TANITA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HENDERSON WOMEN'S CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104384924
- **Authorized official:** LISA FRASER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (702) 847-6252

## Contact information

- **Practice address:** 1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 89012-5723
- **Practice address phone:** (702) 847-6252
- **Practice address fax:** (702) 847-6254
- **Mailing address:** 650 S GREEN VALLEY PKWY STE 120, HENDERSON, NV 89052-0425
- **Mailing address phone:** (702) 847-6252
- **Mailing address fax:** (702) 847-6254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 03/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 250009085 | — | NV |