Individual
MARY ANN LORENZO ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4750 W SAHARA AVE STE 36, LAS VEGAS, NV 89102-3557
(725) 433-3364
(725) 433-3366
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
813736
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
813736
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801362942
—
NV
Enumeration date
10/16/2018
Last updated
01/03/2023
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