Individual
CORRINE GILLEN EDWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 560-2192
Mailing address
3417 E CHEYENNE AVE APT 166, N LAS VEGAS, NV 89030-4221
(760) 490-3979
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
883553
NV
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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