Provider Demographics
NPI:1194539718
Name:GOLO-ATKIN, TANIA MAE MENDOZA (BSN, RN, AMB-BC)
Entity type:Individual
Prefix:
First Name:TANIA MAE
Middle Name:MENDOZA
Last Name:GOLO-ATKIN
Suffix:
Gender:F
Credentials:BSN, RN, AMB-BC
Other - Prefix:
Other - First Name:TANIA
Other - Middle Name:
Other - Last Name:GOLO-ATKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:550 SHANNON WAY APT 6109
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1730
Mailing Address - Country:US
Mailing Address - Phone:208-914-5307
Mailing Address - Fax:
Practice Address - Street 1:450 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3132
Practice Address - Country:US
Practice Address - Phone:650-723-5643
Practice Address - Fax:650-721-3425
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95143916163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic