Individual
FESTUS EBONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
(702) 685-9674
Mailing address
1721 E. CHARLESTON BLVD., LAS VEGAS, NV 89104-1902
(702) 515-9680
(702) 685-9674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN000902
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN000902
NV
Other
Enumeration date
02/13/2007
Last updated
01/21/2025
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