Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN002099 | NV |
NPI | 1013376136 |
---|---|
Provider Name | Elita Pallasigui |
First Address | Las Vegas, NV 89135-2895 |
Second Address | N Las Vegas, NV 89086-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2016 |
Last Update Date | 29/06/2016 |