Individual
LADY MARGARETTE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1462 KNIGHTHOOD DR, DYER, IN 46311-2054
(508) 542-5129
Mailing address
1462 KNIGHTHOOD DR, DYER, IN 46311-2054
(508) 542-5129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.023891
IL
Other
Enumeration date
02/16/2023
Last updated
07/15/2024
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