Individual
ANGELA KAY WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3186 S MARYLAND PKWY, SUNRISE CHILDREN'S HOSPITAL NICU, LAS VEGAS, NV 89109-2317
(702) 731-8240
Mailing address
3186 S MARYLAND PKWY, SUNRISE CHILDREN'S HOSPITAL NICU, LAS VEGAS, NV 89109-2317
(702) 731-8240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A111775
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
14639
NV
390200000X
Student in an Organized Health Care Education/Training Program
LL1757
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14639
NEVADA MIEDICAL LICENSE
NV
01
—
A111775
CALIFORNIA STATE MEDICAL BOARD
CA
01
—
LL1757
NV MEDICAL LIC
NV
Enumeration date
07/06/2007
Last updated
08/23/2013
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