Individual
MRS. ROSANNA R OCTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3680 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-7235
(702) 855-0748
(702) 436-8088
Mailing address
PO BOX 778207, HENDERSON, NV 89077-8207
(702) 855-0748
(702) 436-8088
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN001140
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN001140
NURSING LICENSE
NV
Enumeration date
05/10/2013
Last updated
10/25/2013
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