Individual
JUSTIN PEDRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2650 SPRINGSTONE ST, LAS VEGAS, NV 89142-2046
(702) 509-7376
(702) 509-7371
Mailing address
2650 SPRINGSTONE ST, LAS VEGAS, NV 89142-2046
(702) 629-0245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
845987
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845987
STATE LICENSE NUMBER
NV
Enumeration date
02/04/2025
Last updated
03/24/2025
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