Provider Demographics
NPI:1982373007
Name:PERRINO LANZ, ARIANNY KATHERINA (APRN)
Entity Type:Individual
Prefix:
First Name:ARIANNY
Middle Name:KATHERINA
Last Name:PERRINO LANZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 E SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5476
Mailing Address - Country:US
Mailing Address - Phone:316-573-2979
Mailing Address - Fax:
Practice Address - Street 1:928 E SUNSET RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-5476
Practice Address - Country:US
Practice Address - Phone:316-573-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV846780363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner