Stacy Tan, in Box Elder, MT - Licensed Vocational Nurse

Stacy Tan, is a Licensed Vocational Nurse based in Box Elder, Montana. Stacy Tan is licensed to practice in California (license number 217537) and her current practice location is 535 Clinic Rd E, Box Elder, Montana. She can be reached at her office (for appointments etc.) via phone at (406) 395-4395.

NPI number for Stacy Tan is 1982057980 and her current mailing address is 535 Clinic Rd E, Box Elder, Montana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982057980.

Contact Information

	Stacy Tan,
	535 Clinic Rd E, Box Elder, MT 59521-8826
	(406) 395-4395
	Not Available

Provider's Profile

Full Name	Stacy Tan
Gender	Female
Speciality	Licensed Vocational Nurse
Location	535 Clinic Rd E, Box Elder, Montana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1982057980
Provider Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016

Medical Identifiers

Medical identifiers for Stacy Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982057980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	217537 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Tan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacy Tan, 535 Clinic Rd E, Box Elder, MT 59521-8826 Ph: (406) 395-4395	Stacy Tan, 535 Clinic Rd E, Box Elder, MT 59521-8826 Ph: (406) 395-4395

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Stacy Tan, - Licensed Vocational Nurse in Box Elder, MT