Individual
PATRICIA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0825
(702) 382-1599
(702) 240-4962
Mailing address
PO BOX 36310, LAS VEGAS, NV 89133-6310
(702) 382-1599
(702) 240-4962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6010
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144259813
—
NV
01
—
V112706
MEDICARE PTAN
NV
Enumeration date
07/03/2006
Last updated
07/21/2022
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