Individual
NINA STEFANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2850 S JONES BLVD STE 1, LAS VEGAS, NV 89146-5640
(702) 910-2800
Mailing address
2850 S JONES BLVD STE 1, LAS VEGAS, NV 89146-5640
(702) 910-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15725
NV
208M00000X
Hospitalist Physician
15725
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15725
NV MEDICAL LICENSE
NV
Enumeration date
09/29/2008
Last updated
05/15/2023
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