Search › Nevada › 363A00000X
Tara Disalle, PA-C
NPI 1396269312 · on the registry since 2017
Practice
- Address
- 1691 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012 - Phone
- (702) 804-1212
- Fax
- (702) 804-1222
- Organisation at this address
- Innotiv Germin
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207P00000X
363A00000X - Licence states on file
- OH, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada