Vivian Tan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

835699 Issued in NV

Practice address

2649 Wigwam Pkwy Ste 101
Henderson, NV 89074-7310

Phone

(844) 307-5929

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1871185959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "844-307-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VIVIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "835699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Tan
• Charmaine Camille Delgra Tan, DO
• Esther H Tan, O.D.
• Jeffrey C Tan
• Sylvia M Tan
• Frederick Jones Tanenggee, M.D.
• Tang Dentists of West Henderson, PC
• Allen Clark Tang, DMD
• Cheng Tang, DMD
• Kochy Y Tang, DO

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.