Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Vivian V Tan, NP-C

Individual provider Family Nurse Practitioner · NPI 1649787011

Mrs. Vivian V Tan, NP-C is a Nurse Practitioner in Elkridge, Maryland. Qualified in 2017, 9 years ago. Practices with Synergy Medical Group LLC, a 99-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

6480 Old Waterloo Rd
Elkridge, MD 21075
Phone: (410) 799-0291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1910 Towne Centre Blvd Ste 250, Annapolis, MD 21401-3599 — (657) 237-2450
  • 4155 Glen Park Rd, Nottingham, MD 21236-1019 — (410) 248-0661

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R164835 (MD)

Record details

NPI number1649787011
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJanuary 5, 2018
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Synergy Medical Group Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Elkridge