Individual
REISA INOSANTO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8116 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-1015
(702) 407-7063
Mailing address
3857 PEACHGATE AVE, LAS VEGAS, NV 89120-2633
(808) 741-3734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
856373
NV
363LF0000X
Family Nurse Practitioner
APRN-3396
HI
Other
Enumeration date
02/12/2022
Last updated
08/29/2022
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