Individual
MARY ELLEN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
4505 S. MARYLAND PKWY, LAS VEGAS, NV 89154-3020
(702) 895-0540
(702) 895-4316
Mailing address
888 W BONNEVILLE AVE, LAS VEGAS, NV 89106-0100
(702) 483-6000
(702) 483-6039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00508
NV
Other
Enumeration date
07/06/2006
Last updated
04/15/2022
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