Individual
VICENTE HECTOR GATAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6276 S RAINBOW BLVD, STE 100, LAS VEGAS, NV 89118-3243
(702) 396-4165
(702) 252-4405
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 243-8500
(702) 363-8753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN001024
NV
364S00000X
Clinical Nurse Specialist
APN001024
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477722866
—
NV
01
—
CQ729X
MEDICARE - SMA CONVENIENT CARE
NV
Enumeration date
02/29/2008
Last updated
03/04/2019
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