Individual
DINA ALZADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC
Contact information
Practice address
100 N GREEN VALLEY PKWY STE 240, HENDERSON, NV 89074-7704
(702) 938-0088
(702) 260-4689
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
811584
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
811584
NV
363LP2300X
Primary Care Nurse Practitioner
811584
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962982728
—
NV
01
—
811584
STATE LICENSE
NV
Enumeration date
08/20/2018
Last updated
12/11/2018
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