Individual
MR. RYAN SUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
810359
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
810359
NV
Other
Enumeration date
03/23/2022
Last updated
10/18/2022
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