Individual
MARY KRISTINE HISPANO DARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
Mailing address
11196 BURNING RIVER ST, LAS VEGAS, NV 89183-5113
(702) 918-9217
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
842511
NV
Other
Enumeration date
06/14/2021
Last updated
09/08/2021
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