JUDITH L. TAN


Address: Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144
Phone: 7022337000

JUDITH L. TAN (NPI# 1467987487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467987487
Entity Type Individual
Full Name JUDITH L. TAN
Credential APRN
Practice Address Summerlin Hospital
657 N Town Center Dr
Las Vegas
NV 89144
Mailing Address 3665 Hillary Elan Ct
Las Vegas
NV 89139-8186
Practice Telephone 7022337000
Mailing Telephone 7022909755
Mailing Fax Number 7022024178
Enumeration Date 2017-04-27
Last Update Date 2019-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN002509 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV PENDING 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 7022337000

Office Location

Street Address SUMMERLIN HOSPITAL
657 N TOWN CENTER DR
City LAS VEGAS
State NV
Zip Code 89144

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033609599 Anila Naz Technician 1529 Waterton Drive, Las Vegas, NV 89144 2018-05-10
1871049437 Derek Anthony Smith Physical Therapist 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 2016-09-01
1619324662 Sydney Spoon Dietitian, Registered 624 Canyon Greens Dr, Las Vegas, NV 89144 2016-05-19
1629455985 Md24 Nv, Inc. Nurse Practitioner 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 2015-05-06
1053652628 Melvin Lackey Jr. Behavioral Analyst 10708 Esk Dr, Las Vegas, NV 89144 2013-03-07
1740445667 Jaydee R. Lumbad Family Medicine 1111 N Town Center Drive, Las Vegas, NV 89144 2008-07-21
1700053824 Samim Enayat Internal Medicine 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 2008-05-08
1629252457 Edmund Reyes Goroza Pediatrics 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 2007-12-28
1730375262 H.l.greenberg M.d., Ltd. Clinic/Center 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 2007-09-18
1598979072 Yoana Lubenova Peteva Pediatrics 10105 Banburry Cross Drive, Suite 370, Las Vegas, NV 89144 2007-05-10
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649783754 Maxine Millicent Webster Nurse Practitioner 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 2017-11-10
1700302791 Marissa Schanbacher Adolfo Nurse Practitioner 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 2017-08-21
1366852352 Thomas Arpad Sharon Nurse Practitioner 922 West Owens Avenue, Las Vegas, NV 89106 2014-04-30
1285600502 Tia B Hudon Nurse Practitioner 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 2006-02-27
1568469773 Aloycha Li De La Roche Nurse Practitioner 6100 Iron Kettle St, Las Vegas, NV 89130-1065 2005-07-01
1588263248 Makon Amazing Gifted Hands Pllc Nurse Practitioner 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 2020-10-22
1578171864 Iliana Britt Nurse Practitioner 2968 E Russell Rd, Las Vegas, NV 89120-2453 2020-07-22
1689216434 Luis Rodriguez Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2019-10-14
1518519511 Michelle R Phillips Nurse Practitioner 620 Shadow Ln, Las Vegas, NV 89106-4119 2019-07-10
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Competitor

Search similar providers

City LAS VEGAS
Zip Code 89144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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