Individual
SUE E MEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, EDD
Contact information
Practice address
600 S RANCHO DR, SUITE 113, LAS VEGAS, NV 89106
(702) 878-8252
(702) 878-9096
Mailing address
4045 S BUFFALO DR, A101-172, LAS VEGAS, NV 89147-7479
(702) 878-8252
(702) 878-9096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN000558
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503698
—
NV
01
—
100792
GROUP
NV
01
—
39640
MEDICARE ORIGINAL
NV
01
—
P00285923
MC RR
NV
Enumeration date
06/09/2006
Last updated
05/20/2010
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