Individual
CRISTA MAE THERESE SEDILLO YAMOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3041 E FLAMINGO RD STE A, LAS VEGAS, NV 89121-7447
(702) 436-0835
Mailing address
3041 E FLAMINGO RD STE A, LAS VEGAS, NV 89121-7447
(702) 436-0835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
843229
NV
363LA2200X
Adult Health Nurse Practitioner
843229
NV
363LF0000X
Family Nurse Practitioner
Primary
843229
NV
363LP2300X
Primary Care Nurse Practitioner
843229
NV
363LW0102X
Women's Health Nurse Practitioner
843229
NV
Other
Enumeration date
07/09/2021
Last updated
08/10/2021
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