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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

A NICKNAM PC

Active Organization

A NICKNAM PC is a Family Medicine organization located in LAS VEGAS, Nevada. NPI 1659501302 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAS VEGAS, NV

Registration Details

NPI Number
1659501302
Provider Type
Organization
NPI Issued
Jul 15, 2009 (17.106613028826 yrs)
Last Updated
Dec 31, 2013
License
11368 (NV)

Practice Information

Address
1712 BEARDEN DR
LAS VEGAS, NV, 891064107
Browse NV providers · Browse ZIP 89106
Phone
7027336622
Fax
7023826622
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in LAS VEGAS, NV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.