Individual
JOHN GLENN MCLACHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN FNP
Contact information
Practice address
764 FAIRWAY DR, BOULDER CITY, NV 89005-3429
(702) 686-5706
Mailing address
764 FAIRWAY DR, BOULDER CITY, NV 89005-3429
(702) 686-5706
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN065812
AZ
163WC0200X
Critical Care Medicine Registered Nurse
RN104908
CO
163WC0200X
Critical Care Medicine Registered Nurse
RN54510
NV
163WC0400X
Case Management Registered Nurse
RN065812
AZ
163WC0400X
Case Management Registered Nurse
RN104908
CO
163WC0400X
Case Management Registered Nurse
RN54510
NV
163WE0003X
Emergency Registered Nurse
RN065812
AZ
163WE0003X
Emergency Registered Nurse
RN104908
CO
163WE0003X
Emergency Registered Nurse
RN54510
NV
363LF0000X
Family Nurse Practitioner
Primary
830024
NV
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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