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LISA EDENS-TAN ND
NPI 1316434442
Naturopath in Fort Bragg, CA

Active since April 14, 2018
647 N MAIN ST, FORT BRAGG, CA 95437(925) 209-5966 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 4, 2020, Apr 14, 2018 (2 updates tracked since 2018).

About Lisa Edens-tan Nd NPPES

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

LISA EDENS-TAN ND (NPI 1316434442) is an individual naturopath provider in Fort Bragg, California, licensed in California (ND988) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1316434442
Entity TypeIndividualFemale
Primary Taxonomy175F00000X
Provider Legal NameLISA EDENS-TANCredential: ND
Location Address647 N MAIN STFort Bragg, CA 95437-3219
Mailing Address623 S Sanderson WayFort Bragg, CA 95437-4537 · (925) 209-5966
Phone(925) 209-5966
Sole ProprietorNo
Enumeration DateApril 14, 2018
Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration
✔ NPI 1316434442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNaturopathOther Service Providers
Taxonomy Code175F00000X
License✔ Licensed in CA · ND988
Definition
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
647 N MAIN ST, Fort Bragg, CA 95437
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Other Identifiers 1

OtherND988CA · Department Of Consumer Affairs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA JEAN KILIAN MD
Emergency Medicine
647 N MAIN ST
FORT BRAGG, CA 95437
Mendocino County (917) 327-1516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Edens-tan's NPI number?

The NPI number for Lisa Edens-tan is 1316434442. It was assigned to this individual provider in the NPPES registry on April 14, 2018.

Where is Lisa Edens-tan located?

Lisa Edens-tan practices at 647 N Main St, Fort Bragg, CA 95437. The listed phone number is (925) 209-5966.

What is Lisa Edens-tan's specialty?

The primary specialty registered for this NPI is Naturopath with taxonomy code 175F00000X.

When was this NPI record last updated?

The NPPES record for Lisa Edens-tan was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.