Individual
ZELLUYAH W GAITHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Mailing address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN44601
NV
363L00000X
Nurse Practitioner
APN001242
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN001242
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659672939
—
NV
01
—
V109126
SMA MEDICARE
NV
Enumeration date
11/03/2010
Last updated
03/22/2021
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