Individual
LISA EDENS-TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
647 N MAIN ST, FORT BRAGG, CA 95437-3219
(925) 209-5966
Mailing address
623 S SANDERSON WAY, FORT BRAGG, CA 95437-4537
(925) 209-5966
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND988
DEPARTMENT OF CONSUMER AFFAIRS
CA
Enumeration date
04/14/2018
Last updated
02/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us