Individual provider · Type 1 NPI

Tanner Bryce Ebanks, PA-C

Physician Assistant · Las Vegas, NV

NPI number 1447102256 Active

Practice location

1617 E Windmill Ln Ste 100
Las Vegas, NV 89123-1933

Call (702) 645-7800 Map

Mailing address

507 Emden St
Henderson, NV 89015-4642

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3370 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1447102256

Tanner Bryce Ebanks, PA-C's National Provider Identifier is 1447102256, issued on Feb 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 12, 2026.