Individual
EDWIGE HERMINE FANDIO NGANKOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
(702) 899-1208
(702) 778-7632
Mailing address
4310 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 763-7811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN97594
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
870658
NV
Other
Enumeration date
09/08/2023
Last updated
10/16/2023
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