Individual
KELSIE CHERISSE MACALMA FAGARAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
(702) 240-0206
Mailing address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
(702) 240-0206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
869815
NV
Other
Enumeration date
09/08/2023
Last updated
11/09/2023
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