Individual provider · Type 1 NPI
Esra Tan
Adult Health Nurse Practitioner · Hackensack, NJ
NPI number
1699667683
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
6 Grand St
Highland Lakes, NJ 07422-1301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NR20175600 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1699667683
Esra Tan's National Provider Identifier is 1699667683, issued on Jul 16, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 16, 2025.