Individual
MR. JOHN EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2650 N TENAYA WAY STE 201, LAS VEGAS, NV 89128-1110
(702) 735-7154
(702) 869-8103
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 869-8103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
884184
NV
363LF0000X
Family Nurse Practitioner
95020261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518605237
—
NV
01
—
884184
STATE LICENSE
NV
Enumeration date
05/23/2022
Last updated
04/03/2025
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