Individual
STACEY LOUISE SIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
845 W CRAIG RD STE 104, N LAS VEGAS, NV 89032-0282
(702) 740-0648
Mailing address
845 W CRAIG RD STE 104, N LAS VEGAS, NV 89032-0282
(702) 740-0648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
828101
NV
Other
Enumeration date
04/22/2020
Last updated
03/01/2022
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