Individual provider · Type 1 NPI

Porvenir Tan Ii, NP

Family Nurse Practitioner · Lancaster, CA

NPI number 1700714383 Active

Practice location

1331 W Avenue J # 101
Lancaster, CA 93534-2942

Call (661) 381-4213 Map

Mailing address

27507 Spencer Ct Apt 202
Canyon Country, CA 91387-6698

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95039511 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1700714383

Porvenir Tan Ii, NP's National Provider Identifier is 1700714383, issued on May 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lancaster, CA. The record was last updated on May 12, 2026.