Individual
MISEL REYES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4275 S BURNHAM ST, LAS VEGAS, NV 89119-5400
(702) 384-7669
(702) 385-7669
Mailing address
5585 BIRCHWOOD CIR, LAS VEGAS, NV 89120-1941
(702) 589-1912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
814317
NV
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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