Individual
ERNESTO J ISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(725) 666-1636
Mailing address
1036 OLIVE MILL LN, LAS VEGAS, NV 89134-0601
(702) 918-1963
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
APRN002821
NV
363LF0000X
Family Nurse Practitioner
APRN002821
NV
Other
Enumeration date
04/21/2018
Last updated
03/29/2021
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