Organization
PICENO KIDNEY & HYPERTENSION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WENDL (ADMINISTRATOR / AO)
(702) 407-8241
Entity
Organization
Contact information
Practice address
3121 S MARYLAND PKWY STE 412, LAS VEGAS, NV 89109
(702) 997-4250
Mailing address
PO BOX 778435, HENDERSON, NV 89077-8435
(702) 818-9246
(702) 492-1728
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14024
NV
Other
Enumeration date
11/02/2013
Last updated
07/25/2018
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