Individual
DALLIN STEPHEN RALPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146-1050
(702) 440-8430
(866) 640-0525
Mailing address
6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146-1050
(702) 440-8430
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
833966
NV
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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