Individual
CHARMAINE LOU CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 W SAHARA AVE, LAS VEGAS, NV 89146-3307
(702) 362-2500
(702) 876-6581
Mailing address
9835 RAVEN WING CANYON CT, LAS VEGAS, NV 89183-6315
(702) 622-2776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN52818
NV
363L00000X
Nurse Practitioner
Primary
826962
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826962
NV STATE BOARD OF NURSING
NV
Enumeration date
01/08/2020
Last updated
06/24/2020
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