Individual
JOANNA SORDAN DELA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11009 MEADOW LEAF AVE, LAS VEGAS, NV 89144-4564
(702) 601-6221
Mailing address
11009 MEADOW LEAF AVE, LAS VEGAS, NV 89144-4564
(702) 601-6221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN98064
NV
363LF0000X
Family Nurse Practitioner
Primary
2021118355
NV
Other
Enumeration date
03/13/2022
Last updated
12/04/2024
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