Individual
SHADI USEFI-MORIDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1905 CIVIC CENTER DR., NO. LAS VEGAS, NV 89030
(702) 649-3736
(702) 312-3510
Mailing address
5701 W. CHARLESTON BLVD., SUITE 100, LAS VEGAS, NV 89146
(702) 877-9514
(702) 312-3510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN000973
NV
363L00000X
Nurse Practitioner
RN55045
NV
363LP0200X
Pediatric Nurse Practitioner
Primary
APN000973
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104920206
—
NV
Enumeration date
09/11/2006
Last updated
05/11/2022
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