IndividualActive
Heather Ta, PA-C
NPI 1043460876 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1043460876
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA 1132 (NV)
Practice location
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Mailing address
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Registry dates
- Enumerated
- 2008-09-29
- Last updated
- 2022-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.