Individual
ROWELL UDALVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6240 N DURANGO DR STE 120, LAS VEGAS, NV 89149-3941
(954) 923-7440
(954) 923-1299
Mailing address
200 S PARK RD STE 200, HOLLYWOOD, FL 33021-8541
(954) 923-7440
(954) 923-1299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12210389
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250018501
—
NV
Enumeration date
02/23/2022
Last updated
07/21/2022
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