Individual
LUELLEN ANN GREENLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8480 S EASTERN AVE STE F, LAS VEGAS, NV 89123-2822
(702) 914-6900
(702) 914-6904
Mailing address
2428 ALLEGRETTO AVE, HENDERSON, NV 89052-6640
(702) 612-1164
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
000646
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100519111
—
NV
Enumeration date
09/03/2009
Last updated
10/25/2022
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