Individual
MRS. TISHA SAORI FUJINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6670 S. TENAYA WAY #180, LAS VEGAS, NV 89113
(702) 369-4999
(702) 369-2993
Mailing address
6670 S. TENAYA WAY #180, LAS VEGAS, NV 89113
(702) 369-4999
(702) 369-2993
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN001019
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35199
MEDICARE GROUP NUMBER
NV
Enumeration date
09/19/2008
Last updated
01/12/2017
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