Individual
SIMI S VANCISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8689 W CHARLESTON BLVD STE 105, LAS VEGAS, NV 89117-5485
(702) 616-5801
Mailing address
2200 PASEO VERDE PKWY STE 260, HENDERSON, NV 89052-2703
(702) 616-5801
(702) 304-5935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13467
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
03/31/2006
Last updated
10/17/2017
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