Individual provider · Type 1 NPI
Medina Tan, FNP-BC
Family Nurse Practitioner · Las Vegas, NV
NPI number
1295534782
Active
Practice location
3753 Howard Hughes Pkwy Ste 200
Las Vegas, NV 89169-0952
Fax (949) 281-5550
Mailing address
6655 W Sahara Ave Ste A218
Las Vegas, NV 89146-0847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 848581 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295534782
Medina Tan, FNP-BC's National Provider Identifier is 1295534782, issued on Mar 10, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 2, 2025.