Provider Demographics
NPI:1407939317
Name:VERNETTI, NICHOLAS JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOHN
Last Name:VERNETTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9280 W SUNSET RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4860
Mailing Address - Country:US
Mailing Address - Phone:702-696-7256
Mailing Address - Fax:702-796-7256
Practice Address - Street 1:9280 W SUNSET RD
Practice Address - Street 2:SUITE 306
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4860
Practice Address - Country:US
Practice Address - Phone:702-696-7256
Practice Address - Fax:702-796-7256
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2015-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH57011540207R00000X
NV15680207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine