Individual
NIPAPORN TINA BUADAENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 CLIFF SHADOWS PKWY STE 250, LAS VEGAS, NV 89129-5112
(702) 382-1599
(702) 240-4962
Mailing address
PO BOX 36310, LAS VEGAS, NV 89133-6310
(702) 382-1599
(702) 240-4962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002918
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366939019
—
NV
Enumeration date
04/18/2018
Last updated
07/31/2025
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