Provider Demographics
NPI:1659866143
Name:ADVANCED PRACTICE NURSING SPECIALISTS
Entity Type:Organization
Organization Name:ADVANCED PRACTICE NURSING SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANSECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-596-6249
Mailing Address - Street 1:8960 W CHEYENNE AVE UNIT 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8929
Mailing Address - Country:US
Mailing Address - Phone:702-656-0016
Mailing Address - Fax:702-933-8690
Practice Address - Street 1:8960 W CHEYENNE AVE UNIT 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8929
Practice Address - Country:US
Practice Address - Phone:702-656-0016
Practice Address - Fax:702-933-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty