Individual
CALIDA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 N BUFFALO DR STE 100, LAS VEGAS, NV 89128-2677
(702) 233-8855
(702) 952-3548
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2962
NV
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346003118
—
NV
01
—
PA2962
LICENSE
NV
Enumeration date
02/05/2024
Last updated
08/07/2026
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