NPI 1104384924
Nevada Health Tanita PLLC
Practice location
- Address
- 1348 Paseo Verde Pkwy STE 100, Henderson, NV 89012-5723
- Phone
- (702) 847-6252
- Fax
- (702) 847-6254
- Mailing address
- 650 S Green Valley Pkwy STE 120, Henderson, NV 89052-0425
Authorised official
- Name
- Lisa Fraser
- Title
- Practice Administrator
- Phone
- (702) 847-6252
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1104384924
- Entity type
- Organization
- NPI issued
- 11 Mar 2019
- Record last updated
- 3 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.