Individual
VIVIAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2649 WIGWAM PKWY STE 101, HENDERSON, NV 89074-7310
(844) 307-5929
Mailing address
2649 WIGWAM PKWY STE 101, HENDERSON, NV 89074-7310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
835699
NV
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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