Individual
PATRICIA DARLENE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3960 W CRAIG RD, SUITE 101, NORTH LAS VEGAS, NV 89032-2731
(702) 473-8380
(702) 473-8383
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-C48
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316966617
—
NV
Enumeration date
07/18/2006
Last updated
09/25/2012
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