Individual
CHELSEA TAKARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 N TENAYA WAY, STE 240, LAS VEGAS, NV 89128-0443
(702) 445-7770
(702) 445-7772
Mailing address
PO BOX 34707, LAS VEGAS, NV 89133-4707
(702) 445-7770
(702) 445-7772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN65117
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002170
NV
Other
Enumeration date
10/07/2015
Last updated
11/12/2018
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