Individual
MIRA JANINE CANLAS HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2020 WELLNESS WAY, LAS VEGAS, NV 89106-4144
(702) 432-2233
Mailing address
253 RUSTIC CLUB WAY, LAS VEGAS, NV 89148-5202
(858) 531-1870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
868163
NV
Other
Enumeration date
06/14/2023
Last updated
08/18/2023
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