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Organization
HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA
Active
Organization
HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MARIE FEDERIZO APRN (DELEGATED OFFICIAL)
(702) 506-8199
Entity
Organization
Contact information
Practice address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113
(702) 330-0555
(702) 832-1128
Mailing address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
(702) 330-0555
(702) 832-1128
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
—
NULL
163WH0500X
Hemodialysis Registered Nurse
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
NULL
207RH0000X
Hematology (Internal Medicine) Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/25/2017
Last updated
10/20/2022
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