Individual
ADA N. NDULAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4275 BURNHAM AVE, #255, LAS VEGAS, NV 89119-5488
(702) 369-0088
(702) 893-4913
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN001798
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN001798
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912251687
—
NV
Enumeration date
11/02/2012
Last updated
09/22/2020
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