Individual
CONNIE N DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 E BONANZA RD, LAS VEGAS, NV 89110-3505
(725) 205-4063
(702) 920-7625
Mailing address
4900 E BONANZA RD, LAS VEGAS, NV 89110-3505
(725) 205-4063
(702) 920-7625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277499
AZ
363LF0000X
Family Nurse Practitioner
Primary
893727
NV
Other
Enumeration date
08/12/2022
Last updated
03/12/2026
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