Individual
GRACE CADAVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5580 W FLAMINGO RD STE 107, LAS VEGAS, NV 89103-0165
(702) 997-4455
Mailing address
6438 ELIZABETHTOWN AVE, LAS VEGAS, NV 89110-2868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN75368
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
842734
NV
Other
Enumeration date
10/19/2017
Last updated
02/22/2022
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