Individual
NICOLE ELIZABETH FANA TANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ENFERMERA BSN
Contact information
Practice address
VILLA DORADA CALLE 2 #255, CANOVANAS, PR 00729
(939) 349-9397
Mailing address
VILLA DORADA CALLE 2 #255, CANOVANAS, PR 00729
(939) 349-9397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
099787
PR
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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