Individual
MRS. MARIA EUNICE D TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3968 N RANCHO DR, LAS VEGAS, NV 89130-3412
(702) 791-9020
(702) 791-9261
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 791-9261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001661
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598196081
—
NV
Enumeration date
12/09/2013
Last updated
07/04/2023
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