Individual
MALIKA COPPEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2255 RENAISSANCE DR, STE C, LAS VEGAS, NV 89119-6751
(702) 876-0350
(702) 876-1090
Mailing address
2255 RENAISSANCE DR, STE C, LAS VEGAS, NV 89119-6751
(702) 876-0350
(702) 876-1090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001769
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN001769
NV APRN LICENSE
NV
Enumeration date
12/30/2014
Last updated
03/11/2020
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