Individual
VESNA RADIVOJEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10040 ALTA DR, LAS VEGAS, NV 89145-8613
(702) 360-7600
(702) 363-3814
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
848771
NV
363LP2300X
Primary Care Nurse Practitioner
023103
OH
363LP2300X
Primary Care Nurse Practitioner
AP11787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023103
APRN CNP
OH
01
—
848771
STATE LICENSE
NV
Enumeration date
07/09/2018
Last updated
04/24/2024
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