Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APN598 | NV |
NPI | 1023084324 |
---|---|
Provider Name | Joanne M Hylton |
First Address | Las Vegas, NV 89114-5645 |
Second Address | Las Vegas, NV 89128-0424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 28/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023084324 | MEDICAID/SMA (01) | NV |
2402227 | (05) | NV |
P23132 | (02) | |
V109444 | SMA MEDICARE (01) | NV |