Individual
JOAN RUETER CARAPUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2775 S. JONES BLVD, SUITE 101, LAS VEGAS, NV 89146
(702) 685-3300
(702) 586-3333
Mailing address
2775 S. JONES BLVD, SUITE 101, LAS VEGAS, NV 89146
(702) 685-3300
(702) 586-3333
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MED-PAC-LIC-69431
MT
2084P0805X
Geriatric Psychiatry Physician
MED-PAC-LIC-69431
MT
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402127
—
NV
Enumeration date
08/10/2006
Last updated
03/07/2023
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