Individual
MICHAEL GATCHALIAN NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
844813
NV
363LF0000X
Family Nurse Practitioner
844813
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477126662
—
NV
Enumeration date
07/23/2021
Last updated
05/16/2024
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