Individual
DENICE RACHEL GUZZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 S 4TH ST STE 270, LAS VEGAS, NV 89101-6202
(702) 744-4000
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1890
NV
363AM0700X
Medical Physician Assistant
PA23158
CA
363AS0400X
Surgical Physician Assistant
PA9104790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922258599
—
NV
01
—
PA1890
STATE LICENSE
NV
Enumeration date
09/19/2008
Last updated
07/15/2020
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