Individual provider · Type 1 NPI
Michelle Nathania Tan, DO
General Practice Physician · Jbphh, HI
NPI number
1669237236
Active
Practice location
480 Central Ave
Jbphh, HI 96860-4908
Mailing address
III Marine Expeditionary Force Surgeon, Unit 35605
Fpo, AP 96382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0102209499 (VA) |
| Military Health Care Provider | 171000000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1669237236
Michelle Nathania Tan, DO's National Provider Identifier is 1669237236, issued on Feb 14, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jbphh, HI. The record was last updated on Mar 16, 2026.