Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 13148 | NV |
Y | 207VX0201X | Gynecologic Oncologist | D0070318 | MD |
NPI | 1477677417 |
---|---|
Provider Name | Dr. Aimee Christine Fleury |
First Address | Las Vegas, NV 89169-2578 |
Second Address | Las Vegas, NV 89169-2578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 01/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13148 | MEDICAL LICENSE (01) | NV |
BF9600114 | DEA CERTIFICATE (01) | NV |
D0070318 | MEDICAL LICENSE (01) | MD |