Organization
MALIKA COPPEDGE APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKA COPPEDGE APRN (OWNER)
(702) 434-5114
Entity
Organization
Contact information
Practice address
4760 S PECOS RD STE 104, LAS VEGAS, NV 89121-5828
(702) 434-5114
Mailing address
4760 S PECOS RD STE 104, LAS VEGAS, NV 89121-5828
(702) 434-5114
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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