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Individual

VICTORIA BALLEDOS TEANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4880 WYNN RD, LAS VEGAS, NV 89103-5406
(702) 871-5005
(702) 871-1341
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
861091
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689360729
NV
01
861091
STATE LICENSE
NV
Enumeration date
04/12/2023
Last updated
07/10/2023
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