Individual
ALICIA BLENKUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 985-2324
(702) 985-2324
Mailing address
8833 VALLEY CREEK DR, LAS VEGAS, NV 89134-0372
(405) 820-1636
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN002653
NV
363LF0000X
Family Nurse Practitioner
APRN002653
NV
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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