Organization
DITHRA COTTON-LEWIS APRN FNP-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD NAEEM (CREDENTIALING MANAGER)
(307) 223-2266
Entity
Organization
Contact information
Practice address
8225 W SAHARA AVE STE C, LAS VEGAS, NV 89117-8929
(702) 326-2340
Mailing address
6920 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2135
(702) 326-2340
(702) 462-9328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
12/02/2021
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