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Individual

ENRICO ESTRELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
10652 S EASTERN AVE, SUITE A, HENDERSON, NV 89052-4952
(702) 476-2800
(702) 476-2040
Mailing address
PO BOX 743752, ATLANTA, GA 30374-3752
(702) 476-2800
(702) 476-2040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN82977
NV
363L00000X
Nurse Practitioner
95002022
CA
363L00000X
Nurse Practitioner
Primary
APRN001948
NV

Other

Enumeration date
04/22/2015
Last updated
11/08/2016
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