Individual
VANESSE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 289-1400
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
95296183
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024195212
VA
Other
Enumeration date
09/10/2025
Last updated
01/22/2026
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