| Doctor Name: | MS. NANCY TIAN |
| NPI Number: | 1568861342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | FNP22677 |
| Business Practice Address: | 1149 Fernwood Dr Millbrae, CA - 940301011 |
| Business Phone Number: | 6503025864 |
| Business Fax Number: | |
| Mailing Address: | 1149 Fernwood Dr, MILLBRAE |
| State: | CA |
| Postal Code: | 940301011 |
| Phone Number: | 6503025864 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2014 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | FNP22677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |