Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN000911 | NV |
NPI | 1043374069 |
---|---|
Provider Name | Dr. Gilda Arcales Villareal |
First Address | Las Vegas, NV 89106-4195 |
Second Address | Las Vegas, NV 89106-4195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 11/02/2011 |