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Contact Information

HEATHER L TA, PA-C
2800 E DESERT INN RD STE 100
LAS VEGAS, NV89121-3609
 Phone: 702-731-1616
 Fax: 702-734-4900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER L TA · (Female)

NPI Number 1043460876
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/29/2008
Last updated 02/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA 1132
  • NV License # PA1132
  • NV Other PA1132 NV MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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