Individual
ANA RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
3661 S MARYLAND PKWY STE 64, LAS VEGAS, NV 89169-3005
(702) 735-7900
Mailing address
3661 S MARYLAND PKWY STE 64, LAS VEGAS, NV 89169-3005
(702) 735-7900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN13289
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174064786
—
NV
Enumeration date
10/20/2020
Last updated
10/20/2020
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