Individual
ROSELLE SUDARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
4040 N. MARTIN LUTHER KING BLVD, STE A, N. LAS VEGAS, NV 89032
(702) 644-4673
Mailing address
4040 N MARTIN L KING BLVD STE A, N LAS VEGAS, NV 89032-3205
(702) 644-4073
(702) 902-5443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002357
NV
Other
Enumeration date
10/26/2016
Last updated
03/25/2019
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