Individual provider · Type 1 NPI
Angie-Kolleen Sandico Tan, FNP
Psychiatric/Mental Health Nurse Practitioner · Pacoima, CA
NPI number
1063961324
Active
Practice location
9606 Cherry Hill St
Pacoima, CA 91331-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 775609 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95006893 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063961324
Angie-Kolleen Sandico Tan, FNP's National Provider Identifier is 1063961324, issued on Sep 28, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pacoima, CA. The record was last updated on Oct 17, 2017.