Imelda Chi Sam
Nurse Practitioner - Gerontology
5061 N Rainbow Blvd Ste 180
Las Vegas
, Nevada 89130-1689
Imelda Chi Sam
Nurse Practitioner - Gerontology
5061 N Rainbow Blvd Ste 180
Las Vegas
, Nevada 89130-1689
(702) 885-4847
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Imelda Chi Sam
- 10304 Walworth Ave
- Las Vegas, NV
- Zip : 89166-6500
- Phone : (702) 885-4847
Second Address
- Imelda Chi Sam
- 5061 N Rainbow Blvd Ste 180
- Las Vegas, NV
- Zip : 89130-1689
- Fax : (702) 395-4500
- Phone : (702) 220-8001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN00002763 | NV |
National Provider Identifier
| NPI | 1053819755 |
|---|---|
| Provider Name | Imelda Chi Sam |
| First Address | Las Vegas, NV 89166-6500 |
| Second Address | Las Vegas, NV 89130-1689 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2018 |
| Last Update Date | 28/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.