Individual
IMELDA CHI SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3968 N RANCHO DR, LAS VEGAS, NV 89130-3412
(702) 791-9020
(702) 791-9261
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN00002763
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN002763
NV
Other
Enumeration date
01/28/2018
Last updated
07/05/2023
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