Healthcare Provider Details

I. General information

NPI: 1831909407
Provider Name (Legal Business Name): IRENE TSANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 S CIMARRON RD STE 100
LAS VEGAS NV
89113-2157
US

IV. Provider business mailing address

7220 S CIMARRON RD STE 100
LAS VEGAS NV
89113-2157
US

V. Phone/Fax

Practice location:
  • Phone: 702-384-1160
  • Fax:
Mailing address:
  • Phone: 702-384-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number833789
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number833789
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: