Individual
DOLORES DE LEON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8680 W CHEYENNE AVE, LAS VEGAS, NV 89129-7458
(702) 750-3425
(800) 382-0870
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 750-3425
(800) 382-0870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN001208
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669775516
—
NV
Enumeration date
12/15/2010
Last updated
01/17/2017
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