Individual
PROF. NELLADEE STREET
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 1, MESQUITE, NV 89027-7502
(702) 346-0800
(702) 346-0801
Mailing address
1301 BERTHA HOWE AVE, SUITE 1, MESQUITE, NV 89027-7502
(702) 346-0800
(702) 346-0801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN00314
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811580
—
AZ
Enumeration date
11/15/2005
Last updated
07/09/2007
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