Organization
MAE NEKOBA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAE NEKOBA APRN (OWNER)
(702) 485-3593
Entity
Organization
Contact information
Practice address
4020 E RUSSELL RD, LAS VEGAS, NV 89120-3802
(702) 780-1313
Mailing address
4020 E RUSSELL RD, LAS VEGAS, NV 89120-3802
(702) 485-3593
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
09/05/2024
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