Organization
ADVANCED PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERISSA C DIMAILIG APRN (MANAGING MEMBER)
(702) 878-5504
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD STE E48, LAS VEGAS, NV 89102-1921
(702) 878-5504
(702) 878-8206
Mailing address
2810 W CHARLESTON BLVD STE E48, LAS VEGAS, NV 89102-1921
(702) 878-5504
(702) 878-8206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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