Individual
VANESSA MEDINA ANTOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4750 W OAKEY BLVD STE 3A, LAS VEGAS, NV 89102-1535
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002783
NV
363LA2100X
Acute Care Nurse Practitioner
95003001
CA
Other
Enumeration date
02/17/2016
Last updated
07/12/2019
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