Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN001560 | NV |
NPI | 1396184438 |
---|---|
Provider Name | Geraldine G Bent |
First Address | Las Vegas, NV 89135-5008 |
Second Address | Las Vegas, NV 89135-5008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 28/12/2013 |