Individual
MRS. JULIA VIVIEN DE JESUS NAVALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
6170 N DURANGO DR STE 130, LAS VEGAS, NV 89149-3923
(702) 940-1550
(702) 940-1551
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002556
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871017400
—
NV
01
—
APRN002556
STATE LICENSE
NV
Enumeration date
07/26/2017
Last updated
10/19/2022
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