Individual
TIKVA DARVISH BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
2860 E. DESERT INN ROAD, LAS VEGAS, NV 89121
(702) 796-9997
(702) 796-1440
Mailing address
8906 SPANISH RIDGE AVE, SUITE 202, LAS VEGAS, NV 89148-1304
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
00106
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366532434
—
NV
Enumeration date
10/13/2006
Last updated
05/08/2017
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