Individual
TANYA AIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5564 S FORT APACHE RD, LAS VEGAS, NV 89148-3600
(702) 982-2273
(702) 475-4003
Mailing address
1672 FLORES LN, HENDERSON, NV 89012-3604
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN35693
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548604390
BRIGHTSTAR
NV
Enumeration date
11/06/2017
Last updated
11/06/2017
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