Individual
MS. DENISE HELEN LICINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6827 W TROPICANA AVE STE 110, LAS VEGAS, NV 89103-4920
(702) 508-9128
(702) 302-4125
Mailing address
705 GRANITE RAPIDS ST, LAS VEGAS, NV 89138-7529
(862) 228-0578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN822758
NV
363L00000X
Nurse Practitioner
NPF21784
CA
363LA2200X
Adult Health Nurse Practitioner
NC085069
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21784
NP
CA
01
—
818601
RN
CA
01
—
HD702Z
MEDICARE PTAN
CA
Enumeration date
05/03/2006
Last updated
12/09/2022
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