Individual
BERNICE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP NP
Contact information
Practice address
510 N 13TH AVE STE 204, UPLAND, CA 91786-4973
(909) 920-0525
Mailing address
510 N 13TH AVE STE 204, UPLAND, CA 91786-4973
(909) 920-0525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013554
CA
Other
Enumeration date
01/15/2020
Last updated
03/11/2024
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