Individual
DANIEL SAM SANDOVAL ACIERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2645 W HORIZON RIDGE PKWY STE 120, HENDERSON, NV 89052-2899
(702) 790-2211
(702) 790-2316
Mailing address
3097 E WARM SPRINGS RD STE 400, LAS VEGAS, NV 89120-3757
(702) 790-2211
(702) 790-2316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
831466
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831466
PRN-CNP
NV
Enumeration date
08/18/2020
Last updated
07/11/2024
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