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Individual

SAMMY CASTRO DELIZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP

Contact information

Practice address
2825 SIENA HEIGHTS DR, HENDERSON, NV 89052-3976
(702) 616-7049
(702) 952-1234
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002768
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508364969
NV
01
APRN002768
STATE LICENSE
NV
Enumeration date
01/31/2018
Last updated
10/17/2022
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