Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN002444 | NV |
N | 363LP0200X | Nurse Practitioner - Pediatrics | APRN002444 | NV |
N | 363LP2300X | Nurse Practitioner - Primary Care | APRN002444 | NV |
NPI | 1063959229 |
---|---|
Provider Name | Ashley N Juste |
First Address | Las Vegas, NV 89166-1858 |
Second Address | Las Vegas, NV 89166-1115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2017 |
Last Update Date | 03/07/2020 |