Individual
MARY DENISSE TORIBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP- NEVADA -835711
Contact information
Practice address
6240 N DURANGO DR STE 120, LAS VEGAS, NV 89149-3941
(954) 923-7440
(954) 923-1299
Mailing address
138 LOMITA HEIGHTS DR, LAS VEGAS, NV 89138-6158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
835711
NV
363LG0600X
Gerontology Nurse Practitioner
835711
NV
363LP2300X
Primary Care Nurse Practitioner
835711
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250018538
—
NV
Enumeration date
11/05/2020
Last updated
07/21/2022
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