Provider Demographics
NPI:1164600169
Name:CONTE, ELISSA (APN)
Entity Type:Individual
Prefix:
First Name:ELISSA
Middle Name:
Last Name:CONTE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10170 S EASTERN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3968
Mailing Address - Country:US
Mailing Address - Phone:702-405-5660
Mailing Address - Fax:702-405-5661
Practice Address - Street 1:10170 S EASTERN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3968
Practice Address - Country:US
Practice Address - Phone:702-405-5660
Practice Address - Fax:702-405-5661
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00398363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner