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

STACY TAN

Active

STACY TAN is a Licensed Vocational Nurse healthcare provider located in BOX ELDER, Montana. NPI 1982057980 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · BOX ELDER, MT

Registration Details

NPI Number
1982057980
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2016 (10.11605658452 yrs)
Last Updated
Jul 14, 2016
License
217537 (CA)

Practice Information

Address
535 CLINIC RD E
BOX ELDER, MT, 595218826
Browse MT providers · Browse ZIP 59521
Phone
4063954395
Primary Specialty
Licensed Vocational Nurse
164X00000X
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.