Individual provider · Type 1 NPI
Tingting Fan
Family Nurse Practitioner · Ontario, CA
NPI number
1194554220
Active
Practice location
2458 E Salem St
Ontario, CA 91761-3888
Mailing address
3191 W Temple Ave
Pomona, CA 91768-3287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F05240542 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194554220
Tingting Fan's National Provider Identifier is 1194554220, issued on Jul 29, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, CA. The record was last updated on Jan 14, 2025.