Individual
PHYLLIS B. VISCONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9258 ALTA MONTE CT, LAS VEGAS, NV 89178-5506
(702) 405-9160
Mailing address
9258 ALTA MONTE CT, LAS VEGAS, NV 89178-5506
(702) 405-9160
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
249859-1
NY
164W00000X
Licensed Practical Nurse
Primary
LPN14436
NV
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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