Individual
TIMOTHY WATHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6161 W CHARLESTON BLVD, BLDG 1, LAS VEGAS, NV 89146-1126
(702) 486-6054
(702) 486-0417
Mailing address
6161 W CHARLESTON BLVD, BLDG 1, LAS VEGAS, NV 89146-1126
(702) 486-6054
(702) 486-0417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN25241
NV
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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