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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAYLOR RAEANNE FONG, PA

Active

TAYLOR RAEANNE FONG, PA is a Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1689399289 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1689399289
Provider Type
Individual
Gender
Female
NPI Issued
Oct 5, 2022 (3.8463529950093 yrs)
Last Updated
Mar 16, 2023
License
PA2787 (NV)

Practice Information

Address
1 BREAKTHROUGH WAY
LAS VEGAS, NV, 891353011
Browse NV providers · Browse ZIP 89135
Phone
7027321493
Fax
7027321080
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAS VEGAS, NV

Name Credential NPI
CAROLYN A. DECHAINE PA - C 1649276254
EBERHARD JOHANNES MAENDEL PA-C 1639171283
MR. RICHARD J NUDD PA-C 1346242724
RAYMOND MATHIESON PA-C 1023010576
VERONICA C CALLIER PA 1053303610
MR. ISAAC C GIER PAC 1225022130
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.