Individual
SIERRA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 E AZURE AVE APT 1095, NORTH LAS VEGAS, NV 89081-6883
(217) 719-0955
Mailing address
650 E AZURE AVE APT 1095, NORTH LAS VEGAS, NV 89081-6883
(217) 719-0955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN96882
NV
Other
Enumeration date
03/30/2019
Last updated
06/11/2019
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