Tan, Ivy Ying

Tan, Ivy Ying is an individual health care provider with primary practice located at 5119 Camino Al Norte Ste 100 , North Las Vegas NV 89031-2373. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tan, Ivy Ying can be contacted via phone (702) 625-8989.

Contact Information

Primary practice address
5119 Camino Al Norte Ste 100 North Las Vegas NV 89031-2373
Phone: (702) 625-8989
Fax: (702) 331-3115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 583661 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19456 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 836053 Nevada

Profile Details

NPI number 1982833281
LBN Legal business name Tan, Ivy Ying
Credentials FNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Nov 28th, 2023 - about last year

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 1982833281 NPPES
California Other 19456 FAMILY NURSE PRACTITIONER
California Other 583661 FAMILY NURSE PRACTITIONER
California Other 836053 FAMILY NURSE PRACTITIONER

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