Individual
AMANDA RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3993 HOWARD HUGHES PKWY STE 150, LAS VEGAS, NV 89169-6745
(702) 403-8204
Mailing address
6014 GORDON CREEK AVE, LAS VEGAS, NV 89139-7115
(702) 403-8204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
818425
NV
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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