Individual
MERCY MELANIE BORMATE VISMANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3835 S JONES BLVD STE 104, LAS VEGAS, NV 89103-2283
(702) 880-4193
Mailing address
4424 KALAMAZOO ST, LAS VEGAS, NV 89147-8513
(323) 620-4774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
818069
NV
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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