Mata, Tanya M

Mata, Tanya M is an individual health care provider with primary practice located at 2865 Siena Heights Dr Suite 331, Henderson NV 89052-4167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mata, Tanya M can be contacted via phone (702) 407-0110.

Contact Information

Primary practice address
2865 Siena Heights Dr Suite 331 Henderson NV 89052-4167
Phone: (702) 407-0110
Fax: (702) 407-0133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN001121 Nevada

Profile Details

NPI number 1295785038
LBN Legal business name Mata, Tanya M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295785038 NPPES
Nevada MEDICAID 1295785038

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