Individual provider · Type 1 NPI
Dorothy A. Tagan, RN CPNP
Pediatric Nurse Practitioner · San Juan Capistrano, CA
NPI number
1295016368
Active
Practice location
30210 Rancho Viejo Rd, Suite A
San Juan Capistrano, CA 92675-1574
Fax (949) 493-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 304991 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20274 (CA) |
Pediatric Nurse Practitioner: Definition to come...
6 other providers at this address
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- Colleen Marie Bacon, NPFamily Nurse Practitioner San Juan Capistrano, CA NPI 1184903270
- Jeanne Marie McEntire, NPPediatric Nurse Practitioner San Juan Capistrano, CA NPI 1376270991
- John H. Carruth, MDPediatrics Physician San Juan Capistrano, CA NPI 1346337821
- Lydia A. Chapelsky, MDPediatrics Physician San Juan Capistrano, CA NPI 1427175900
Other pediatric nurse practitioner providers in San Juan Capistrano
About NPI 1295016368
Dorothy A. Tagan, RN CPNP's National Provider Identifier is 1295016368, issued on Sep 2, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Sep 2, 2011.