# ZELLUYAH GAITHO APN GNP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790129062
- **Authorized official:** ZELLUYAH GAITHO (NURSE PRACTITIONER)
- **Authorized official phone:** (702) 569-5410

## Contact information

- **Practice address:** 10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
- **Practice address phone:** (702) 569-5410
- **Mailing address:** 10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
- **Mailing address phone:** (702) 569-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APN001242 | NV | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | APN001242 | NV | — |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 04/17/2013