Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 18557 | NV |
N | 208600000X | Surgeon | 18557 | NV |
Y | 2082S0105X | Plastic Hand Surgeon | 18557 | NV |
NPI | 1851611339 |
---|---|
Provider Name | Ashley L Pistorio |
First Address | Las Vegas, NV 89102-1963 |
Second Address | Las Vegas, NV 89102-2354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 26/09/2019 |