Individual
ANGELA DENISE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6064 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Mailing address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
837250
NV
Other
Enumeration date
01/20/2021
Last updated
04/18/2024
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