Provider Demographics
NPI:1982198479
Name:TAN, APRIL (NC, BCHN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:TAN
Suffix:
Gender:F
Credentials:NC, BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 POPE ST
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-2827
Mailing Address - Country:US
Mailing Address - Phone:650-804-2620
Mailing Address - Fax:
Practice Address - Street 1:410 POPE ST
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2827
Practice Address - Country:US
Practice Address - Phone:650-804-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist