Provider Demographics
NPI:1235846361
Name:ZAGHEN, VICTOR (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:ZAGHEN
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3365 E FLAMINGO RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7440
Mailing Address - Country:US
Mailing Address - Phone:702-457-3888
Mailing Address - Fax:702-974-2199
Practice Address - Street 1:3365 E FLAMINGO RD STE 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7440
Practice Address - Country:US
Practice Address - Phone:702-457-3888
Practice Address - Fax:702-974-2199
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV820989363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner