Individual
MR. JUAN CARLOS SALACUP RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
6480 W RUSSELL RD, LAS VEGAS, NV 89118-1919
(702) 396-4165
(702) 252-4405
Mailing address
6480 W RUSSELL RD, LAS VEGAS, NV 89118-1919
(702) 396-4165
(702) 252-4405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP832426
NV
Other
Enumeration date
07/20/2020
Last updated
09/11/2025
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