Individual
ROMEO ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1276 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
(725) 269-6465
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA862
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504055
—
NV
05
—
1952372898
—
NV
01
—
PA862
STATE LICENSE
NV
Enumeration date
01/30/2006
Last updated
06/06/2025
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