Individual
MRS. CASSIDY RAE CHATHAM JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
6900 N DURANGO DR, LAS VEGAS, NV 89149-4409
(702) 835-9700
Mailing address
2217 MISTLE THRUSH DR, NORTH LAS VEGAS, NV 89084-2223
(580) 220-8686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002586
NV
363LA2100X
Acute Care Nurse Practitioner
TAP8189
AZ
363LF0000X
Family Nurse Practitioner
TAP8190
AZ
Other
Enumeration date
09/30/2015
Last updated
03/17/2018
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