Individual
FE MATI FE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S RANCHO DR STE A2, LAS VEGAS, NV 89106-3870
(702) 483-3630
Mailing address
5501 DESERT SPRING RD, LAS VEGAS, NV 89149-6621
(702) 739-8671
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
852696
NV
363LG0600X
Gerontology Nurse Practitioner
852696
NV
363LP2300X
Primary Care Nurse Practitioner
852696
NV
Other
Enumeration date
03/04/2022
Last updated
04/18/2022
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