Individual
TATIANA SOFRONOVA GRZEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2775 S JONES BLVD STE 101, LAS VEGAS, NV 89146-5632
(702) 685-3300
Mailing address
2775 S JONES BLVD, LAS VEGAS, NV 89146-5631
(702) 685-3300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
831675
NV
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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