Individual
JENNIFER BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 732-1493
(702) 732-1080
Mailing address
10170 W TROPICANA AVE # 156-252, LAS VEGAS, NV 89147-8465
(702) 732-1493
(702) 732-1080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN000838
NV
363LP0200X
Pediatric Nurse Practitioner
12738
CA
363LP0200X
Pediatric Nurse Practitioner
536283
CA
363LP0200X
Pediatric Nurse Practitioner
67914
CA
363LP0200X
Pediatric Nurse Practitioner
APN000838
NV
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN000838
NV
363LP0200X
Pediatric Nurse Practitioner
RN47814
NV
Other
Enumeration date
08/01/2006
Last updated
11/11/2021
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