Individual
ROWENA LYN GO MANIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
858438
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093433468
—
NV
Enumeration date
08/22/2022
Last updated
05/14/2024
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