Individual
EVA KRISTINE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4000 E CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89104-6659
(702) 968-4000
(702) 968-4040
Mailing address
4000 E CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89104-6659
(702) 968-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61584
NV
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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