Individual
BRANDON LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4490 N RANCHO DR, LAS VEGAS, NV 89130-3406
(702) 655-0550
(702) 655-0545
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
853830
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013654599
—
NV
01
—
853830
STATE LICENSE
NV
Enumeration date
05/17/2022
Last updated
10/18/2022
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