Individual
NINA TAN
Active
Individual
NINA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61173794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134616550
—
WA
Enumeration date
04/20/2018
Last updated
11/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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