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Individual

AMELIA P PORCIUNCULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
61 N. NELLIS BLVD., LAS VEGAS, NV 89110
(702) 383-6250
(702) 459-8497
Mailing address
1800 W. CHARLESTON BLVD. STE. 508, LAS VEGAS, NV 89102
(702) 383-2688
(702) 671-6595

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002730
NV

Other

Enumeration date
01/15/2018
Last updated
08/30/2018
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