Provider Demographics
NPI:1083975379
Name:KWEK, MANUEL LEANO (APN)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:LEANO
Last Name:KWEK
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2023
Mailing Address - Country:US
Mailing Address - Phone:702-388-4428
Mailing Address - Fax:702-388-4312
Practice Address - Street 1:3100 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2023
Practice Address - Country:US
Practice Address - Phone:702-388-4428
Practice Address - Fax:702-388-4312
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001371363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1083975379OtherNPI
NVAPN001371OtherAPN
NVCS20110OtherNV STATE PHARMACY
NVRN66413OtherRN
NVRN66413OtherRN