Individual
MRS. PATRICIA ANDREA TAN MONTIERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
100 MAJESTIC WAY, LIBERTY HILL, TX 78642-6415
(559) 972-6183
Mailing address
100 MAJESTIC WAY, LIBERTY HILL, TX 78642-6415
(559) 972-6183
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1134398
TX
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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