Individual
LARA VANESSA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7065 ADLER FALLS ST, LAS VEGAS, NV 89118-4750
(630) 901-9995
Mailing address
7065 ADLER FALLS ST, LAS VEGAS, NV 89118-4750
(630) 901-9995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
837956
NV
363L00000X
Nurse Practitioner
Primary
837956
NV
Other
Enumeration date
03/15/2021
Last updated
10/22/2022
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