Individual
LA TYANA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 PRINCESS AVE, N LAS VEGAS, NV 89030-8645
(702) 689-4949
Mailing address
521 PRINCESS AVE, N LAS VEGAS, NV 89030-8645
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
00000000
NV
374U00000X
Home Health Aide
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
NV
05
—
1204
—
NV
Enumeration date
01/14/2022
Last updated
01/14/2022
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