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Individual

REYSEL CHAVEZ MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN-APRN-FNP-C

Contact information

Practice address
4415 HAWTHORNE WAY, LAS VEGAS, NV 89147-4605
(702) 722-3314
(702) 722-3752
Mailing address
9804 CORNWALL CROSSING LN, LAS VEGAS, NV 89147-7706
(702) 772-7705

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11022837
FL
363LF0000X
Family Nurse Practitioner
Primary
818580
NV

Other

Enumeration date
11/04/2022
Last updated
04/04/2024
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