Individual
MIA LAISA THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2800 N TENAYA WAY, SUITE 101, LAS VEGAS, NV 89128
(725) 258-7337
Mailing address
2800 N TENAYA WAY, SUITE 101, LAS VEGAS, NV 89128
(725) 258-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
860389
NV
Other
Enumeration date
10/12/2022
Last updated
02/18/2023
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