Individual provider · Type 1 NPI

Maria Rosalie Simon Tang, N.P.

Pediatric Nurse Practitioner · Palo Alto, CA

NPI number 1154623890 Active

Practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Call (650) 497-8860 Map

Mailing address

193 Ayer Ln
Milpitas, CA 95035-4646

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X15119 (CA)
Pediatric Clinical Nurse Specialist 364SP0200X2090 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1154623890

Maria Rosalie Simon Tang, N.P.'s National Provider Identifier is 1154623890, issued on Dec 1, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Palo Alto, CA. The record was last updated on Dec 1, 2010.