Individual
CANDY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4750 W OAKEY BLVD, LAS VEGAS, NV 89102-1535
(702) 854-2934
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 854-5293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
APRN001580
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427489913
—
NV
Enumeration date
12/09/2013
Last updated
01/17/2017
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