Individual
ALVIN SI-LONG TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM, WHNP-BC
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-9171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1682103
CO
363LW0102X
Women's Health Nurse Practitioner
APN.0997623-NP
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0997624-CNM
CO
Other
Enumeration date
10/22/2021
Last updated
06/17/2022
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