Individual
DANIELLE MEMMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1550 N GREEN VALLEY PKWY, HENDERSON, NV 89074-7108
(702) 666-0493
Mailing address
4414 OUTLOOK VISTA AVE, NORTH LAS VEGAS, NV 89084-4963
(702) 767-1330
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
819447
NV
363L00000X
Nurse Practitioner
Primary
819447
NV
Other
Enumeration date
03/04/2024
Last updated
03/20/2025
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