Individual
AMADO-ALEXANDER AGRISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Mailing address
3749 ALPINE BYPASS AVE, NORTH LAS VEGAS, NV 89081-6617
(702) 523-0092
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
876742
NV
Other
Enumeration date
03/19/2024
Last updated
08/16/2024
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