Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NINA VANDAM
Active Sole ProprietorNINA VANDAM is a Clinical & Laboratory Dermatological Immunology healthcare provider located in NORTH LAS VEGAS, Nevada. NPI 1215793989 is currently active in the NPPES registry. Verify at CMS.
Clinical & Laboratory Dermatological Immunology · NORTH LAS VEGAS, NV
Registration Details
- NPI Number
- 1215793989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2024 (2.2931020277336 yrs)
- Last Updated
- Feb 21, 2024
- License
-
G35511 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6935 ALIANTE PARKWAY#104-240NORTH LAS VEGAS, NV, 89084Browse NV providers · Browse ZIP 89084
- Phone
- 8583619860
- Primary Specialty
-
Clinical & Laboratory Dermatological Immunology
207NI0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.