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Individual

PHYLLIS A SUITER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.P.N.

Contact information

Practice address
2410 FIRE MESA ST, #180, FAMILY PRACTICE CENTER, LAS VEGAS, NV 89128-9016
(702) 992-6888
(702) 992-6880
Mailing address
2410 FIRE MESA ST, #180, FAMILY PRACTICE CENTER, LAS VEGAS, NV 89128-9016
(702) 992-6888
(702) 992-6880

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00227
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN0177
PHARMACY/CDS
NV
Enumeration date
01/03/2006
Last updated
03/07/2023
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