Provider Demographics
NPI:1942865738
Name:ALGEE, EBONI LATRICE (FNP-C)
Entity Type:Individual
Prefix:
First Name:EBONI
Middle Name:LATRICE
Last Name:ALGEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 ERIC STOCKEN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-4412
Mailing Address - Country:US
Mailing Address - Phone:314-941-5989
Mailing Address - Fax:
Practice Address - Street 1:908 ERIC STOCKEN AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-4412
Practice Address - Country:US
Practice Address - Phone:314-941-5989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV817019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily