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Individual

JUDITH L. TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
SUMMERLIN HOSPITAL, 657 N TOWN CENTER DR, LAS VEGAS, NV 89144
(702) 233-7000
Mailing address
3665 HILLARY ELAN CT, LAS VEGAS, NV 89139-8186
(702) 290-9755
(702) 202-4178

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002509
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NV
Enumeration date
04/27/2017
Last updated
07/16/2019
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