Individual
MRS. DANA S WIDDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N, A.P.N., C.N.M
Contact information
Practice address
700 SHADOW LANE, SUITE 165-A, LAS VEGAS, NV 89106
(702) 522-9640
(702) 522-9641
Mailing address
700 SHADOW LANE, SUITE 165-A, LAS VEGAS, NV 89106
(702) 522-9640
(702) 522-9641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN15770
NV
367A00000X
Advanced Practice Midwife
Primary
APN00207
NV
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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