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
—
—
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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