Individual
ERIN LIN MIYASHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 S RAINBOW BLVD STE B, LAS VEGAS, NV 89145-6231
(702) 255-4200
(702) 255-0260
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03614
NM
363LF0000X
Family Nurse Practitioner
Primary
830871
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760977029
—
NV
01
—
830871
STATE LICENSE
NV
Enumeration date
06/28/2018
Last updated
10/02/2023
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