Organization
FAMILY NURSE PRACTITIONER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A CHACHERE (BILLING CREDENTIALING SPECIALIST)
(702) 502-7254
Entity
Organization
Contact information
Practice address
8084 W SAHARA AVE STE B, LAS VEGAS, NV 89117-1977
(702) 257-7246
Mailing address
8084 W SAHARA AVE STE B, LAS VEGAS, NV 89117-1977
(702) 502-7254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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