Individual
EVELINA BALTRUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1294 S JONES BLVD, LAS VEGAS, NV 89146
(702) 877-1887
(702) 877-4536
Mailing address
1294 S JONES BLVD, LAS VEGAS, NV 89146
(702) 877-1887
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
837033
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508458274
—
NV
01
—
V68330
MEDICARE ID
NV
Enumeration date
02/04/2021
Last updated
01/26/2024
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