Individual
ANASTASIA VANLEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7220 S CIMARRON RD, #270, LAS VEGAS, NV 89113
(702) 386-4700
(702) 386-4701
Mailing address
3157 N RAINBOW BLVD, #518, LAS VEGAS, NV 89108-4578
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1145
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1145
NEVADA STATE BOARD
NV
01
—
V115285
MEDICARE PTAN
NV
Enumeration date
02/24/2009
Last updated
03/07/2023
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