Individual
AMANDA CORMICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
3601 LAS VEGAS BLVD N STE 106, LAS VEGAS, NV 89115-7507
(702) 200-2790
Mailing address
3601 LAS VEGAS BLVD N STE 106, LAS VEGAS, NV 89115-7507
(702) 200-2790
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN001655
NV
Other
Enumeration date
01/08/2014
Last updated
09/11/2025
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