HOME PROFESSIONAL NURSE PRACTITIONER LLC is a primary care nurse practitioner in Las Vegas, NV. HOME PROFESSIONAL NURSE PRACTITIONER LLC NPI is 1669944484. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
3017 W CHARLESTON BLVD STE 70
LAS VEGAS, NV
ZIP 89102-928
Phone: (702) 913-9380
The provider's authorized official is Mae Derequito Lueck .
The authorized official title is Ceo and has the following contact phone number (702) 913-9380.
The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.