MS. JOHANNA SHEA-FEN TAN
NPI 1003436999
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 20, 2020

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Johanna Shea-fen Tan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOHANNA SHEA-FEN TAN (NPI 1003436999) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1003436999

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. JOHANNA SHEA-FEN TAN

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1003436999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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