Organization
VISITING MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AYDIN NP (NURSE PRACTITIONER)
(702) 475-2277
Entity
Organization
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(702) 749-9979
Mailing address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(702) 749-9979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001782
NV
Other
Enumeration date
08/06/2014
Last updated
07/24/2019
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