Individual
PATRICK DALE N. GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3061 S MARYLAND PKWY STE 101, LAS VEGAS, NV 89109-6226
(702) 254-5437
Mailing address
3370 ARCATA POINT AVE, LAS VEGAS, NV 89141-3208
(702) 506-6825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
853291
NV
Other
Enumeration date
04/06/2022
Last updated
08/15/2022
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