Individual
REGENA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4361
(702) 759-1370
(702) 633-0975
Mailing address
330 S VALLEY VIEW BLVD, LAS VEGAS, NV 89107-4361
(702) 759-1370
(702) 633-0975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN65229
NV
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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