Individual
MR. JOHN R PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1909 COCHRAN ST, LAS VEGAS, NV 89104-3538
(702) 278-9684
(702) 330-4499
Mailing address
1909 COCHRAN ST, LAS VEGAS, NV 89104-3538
(702) 278-9684
(702) 330-4499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN001359
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN001359
NV
Other
Enumeration date
02/07/2012
Last updated
05/31/2025
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