Individual
NICOLE GRACE ROBLES SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 FIRE MESA ST STE 110, LAS VEGAS, NV 89128-9034
(702) 853-0090
(702) 853-0096
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2501
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174117246
—
NV
Enumeration date
03/01/2021
Last updated
05/16/2024
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