Individual
MS. IVY YING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
5119 CAMINO AL NORTE STE 100, NORTH LAS VEGAS, NV 89031-2373
(702) 625-8989
(702) 331-3115
Mailing address
5119 CAMINO AL NORTE STE 100, N LAS VEGAS, NV 89031-2373
(702) 625-8989
(702) 331-3115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583661
CA
363LF0000X
Family Nurse Practitioner
19456
CA
363LF0000X
Family Nurse Practitioner
Primary
836053
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19456
FAMILY NURSE PRACTITIONER
CA
01
—
583661
RN LICENSE
CA
01
—
836053
FAMILY NURSE PRACTITIONER
NV
Enumeration date
07/08/2009
Last updated
11/28/2023
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