Organization
HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MARIE FEDERIZO APRN (DELEGATED OFFICIAL)
(702) 506-8199
Entity
Organization
Contact information
Practice address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113
(702) 330-0555
(702) 832-1128
Mailing address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
(702) 330-0555
(702) 832-1128
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/25/2017
Last updated
10/20/2022
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