Organization
EMERALD MEDICAL CENTER LLC
Active
Other names
Emerald Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMERALD SONICO NP (OWNER)
(702) 780-5875
Entity
Organization
Contact information
Practice address
2950 E FLAMINGO RD STE B, LAS VEGAS, NV 89121-5208
(702) 780-5875
(702) 920-8493
Mailing address
2950 E FLAMINGO RD STE B, LAS VEGAS, NV 89121-5208
(702) 780-5875
(702) 920-8493
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
01/31/2023
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