Individual provider · Type 1 NPI
Ancy Tom, NP
Family Nurse Practitioner · Las Vegas, NV
NPI number
1669840203
Active
Practice location
2725 S Jones Blvd, Ste 104
Las Vegas, NV 89146-5667
Mailing address
2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 002012 (NV) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN002012 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669840203
Ancy Tom, NP's National Provider Identifier is 1669840203, issued on Sep 14, 2015. 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 17, 2025.