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Individual

MR. CARL ANTHONY PLAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
540 N NELLIS BLVD, LAS VEGAS, NV 89110-5368
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
(702) 227-0523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
816592
NV
363LF0000X
Family Nurse Practitioner
816592
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
V60791
NV
Enumeration date
02/28/2019
Last updated
05/04/2022
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