Nevada Health Tanita Pllc

NPI #1104384924 in Henderson, Nevada

Provider Information

NPI Number: 1104384924
Entity Type: Organization
Organization Name: Nevada Health Tanita Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 11, 2019
Last Updated: Jun 7, 2025

Practice Location

Address: 650 S GREEN VALLEY PKWY STE 120
City: Henderson
State: Nevada
ZIP Code: 89052-0425
Phone: (702) 847-6252

Authorized Official

Name: LISA FRASER
Title: PRACTICE ADMINISTRATOR
Phone: (702) 847-6252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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