Mata, Tanya M
Mata, Tanya M is an individual health care provider with primary practice located at 2865 Siena Heights Dr Suite 331, Henderson NV 89052-4167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mata, Tanya M can be contacted via phone (702) 407-0110.Contact Information
Primary practice address
2865 Siena Heights Dr Suite 331
Henderson NV 89052-4167
Phone: (702) 407-0110
Fax: (702) 407-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APN001121 | Nevada |
Profile Details
| NPI number | 1295785038 |
|---|---|
| LBN Legal business name | Mata, Tanya M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 25th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295785038 | NPPES |
| Nevada | MEDICAID | 1295785038 |
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