Organization
ADVANCED PAIN MANAGEMENT AND ADDICTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN NYTES FNP (MANAGER)
(319) 899-9139
Entity
Organization
Contact information
Practice address
6135 HARRISON DR, LAS VEGAS, NV 89120-4044
(319) 899-9139
Mailing address
6135 HARRISON DR STE 3A, LAS VEGAS, NV 89120-4076
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
01/10/2024
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