Individual
EDWIN ANTONIO N FAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2628 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2176
(702) 644-0500
(702) 641-4600
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
(702) 641-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN001105
NV
Other
Enumeration date
04/08/2009
Last updated
08/28/2023
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