Individual
MARK JOEL RIVERA CULANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6843 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4923
(702) 888-1113
(725) 204-5236
Mailing address
6843 W TROPICANA AVE STE 100, LAS VEGAS, NV 89103-4923
(702) 888-1113
(725) 204-5236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
825001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004418
—
NV
Enumeration date
10/22/2019
Last updated
12/02/2022
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