Individual
CHARYNNE A QUINESARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9077 S PECOS RD STE 3800, HENDERSON, NV 89074-7182
(702) 947-1940
(702) 947-1966
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
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710404793
—
NV
01
—
APRN002568
STATE LICENSE
NV
05
—
PENDING
—
NV
Enumeration date
08/29/2017
Last updated
10/19/2022
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