THERESA TAN


Address: 647 Northridge Dr, Holland, MI 49423-9213
Phone: 6162126235

THERESA TAN (NPI# 1851903272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851903272
Entity Type Individual
Full Name THERESA TAN
Practice Address 647 Northridge Dr
Holland
MI 49423-9213
Practice Telephone 6162126235
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704287991 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers THERESA TAN

NPI Name Taxonomy Address Enumeration
1912424912 Theresa Tan Student in an Organized Health Care Education/Training Program 1918 University Ave Ste 2b, Berkeley, CA 94704-3264 2017-08-29

Office Location

Street Address 647 NORTHRIDGE DR
City HOLLAND
State MI
Zip Code 49423-9213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996714 Ella Rose Marx Social Worker 412 Century Lane, Holland, MI 49423 2019-08-02
1245720424 Amanda Ann Allen Behavior Technician 165 Sorrento Drive, Holland, MI 49423 2018-05-14
1588194237 Emily Amila Geurink Physical Therapy Assistant 4037 43rd St, Holland, MI 49423 2017-06-15
1285081737 Kara Draayer Nurse Anesthetist, Certified Registered 25 W 8th St Ste 200, Holland, MI 49423 2016-05-14
1851776413 Sara Ty Occupational Therapist 789 South Meadow Court, Holland, MI 49423 2015-07-24
1508243056 Andrew Peasley Chiropractor 436 Century Ln., Holland, MI 49423 2015-05-05
1437536497 Deborah Donnelly Physical Therapy Assistant 1221 16th Street, Holland, MI 49423 2015-04-29
1366846024 John Nguyen Pharmacist 747 E 16th St, Holland, MI 49423 2014-10-09
1003257817 Courtney Young Social Worker 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 2013-07-09
1689014391 Jason Pettet Acupuncturist 500 West 17th St., Holland, MI 49423 2013-06-26
Find all providers in zip 49423

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988432 Caitlin Schwark Nurse Practitioner 3705 Northpointe Dr Apt 21, Holland, MI 49424-7796 2020-10-05
1215578380 Jennifer Olivier Nurse Practitioner 9161 Rolling Hill Rd, Holland, OH 43528-9204 2019-09-30
1750842167 Perry Davis Babcock Nurse Practitioner 12330 James St Ste H10, Holland, MI 49424-9575 2019-03-28
1528534716 Jennifer Boven Nurse Practitioner 577 Michigan Ave Ste 201, Holland, MI 49423-4911 2018-10-16
1487183067 Keith Lamar Stroder Nurse Practitioner 6855 Spring Valley Dr Ste 150, Holland, OH 43528-7012 2017-06-07
1497107452 Angela Kay Beil Nurse Practitioner 7059 Orchard Centre Drive, Holland, OH 43528 2016-07-01
1467706382 Eileen Kelly Greco Nurse Practitioner 136 Karen Rd, Holland, PA 18966-2443 2012-10-30
1255655510 Jill Lynn Federer Nurse Practitioner 1650 Eber Rd Ste E, Holland, OH 43528-9793 2010-03-16
1164662771 Jason A Rickert Nurse Practitioner 1414 Spring Meadows Dr, Holland, OH 43528-9478 2009-02-23
1487658308 Lisa Gaye Gill Nurse Practitioner 6711 Airport Hwy, Holland, OH 43528-8104 2005-06-09
Find all providers in HOLLAND

Competitor

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City HOLLAND
Zip Code 49423

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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