Individual
TERESA PATAWARAN BUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
801 S RANCHO DR STE E7, LAS VEGAS, NV 89106-3812
(702) 478-5133
(702) 478-5401
Mailing address
1651 AMERICAN PACIFIC DR APT 7207, HENDERSON, NV 89074-7613
(702) 587-5833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
811511
NV
163W00000X
Registered Nurse
95165109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811511
NEVADA BOARD OF NURSING
NV
01
—
95165109
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
10/05/2018
Last updated
12/13/2019
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