Provider Demographics
NPI:1679846737
Name:CORPUZ, FRANCISCO ANTONIO BARROS (ADVANCE NP)
Entity Type:Individual
Prefix:
First Name:FRANCISCO ANTONIO
Middle Name:BARROS
Last Name:CORPUZ
Suffix:
Gender:M
Credentials:ADVANCE NP
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Mailing Address - Street 1:1219 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1708
Mailing Address - Country:US
Mailing Address - Phone:702-633-5410
Mailing Address - Fax:702-320-1639
Practice Address - Street 1:1219 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1708
Practice Address - Country:US
Practice Address - Phone:702-633-5410
Practice Address - Fax:702-320-1639
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2016-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVRN45455163W00000X
NVAPN001362164W00000X
NVAPRN001362363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse