Provider Demographics
NPI:1972947828
Name:YAN, NANCY (DO)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:YAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5190 NEIL RD
Mailing Address - Street 2:STE 215
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6599
Mailing Address - Country:US
Mailing Address - Phone:775-784-4917
Mailing Address - Fax:
Practice Address - Street 1:570 W BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3227
Practice Address - Country:US
Practice Address - Phone:480-344-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program