Provider Demographics
NPI:1386073864
Name:FELIX, HAZEL TAN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:TAN
Last Name:FELIX
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 W CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2730
Mailing Address - Country:US
Mailing Address - Phone:725-220-8706
Mailing Address - Fax:833-749-0366
Practice Address - Street 1:4919 W CRAIG RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-2730
Practice Address - Country:US
Practice Address - Phone:725-220-8706
Practice Address - Fax:833-749-0366
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily