Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 811550 | NV |
N | 363LA2200X | Nurse Practitioner - Adult Health | 811550 | NV |
N | 363LG0600X | Nurse Practitioner - Gerontology | 811550 | NV |
NPI | 1023596186 |
---|---|
Provider Name | Nasslynne Lenz |
First Address | Henderson, NV 89012-5664 |
Second Address | Las Vegas, NV 89148-2423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2018 |
Last Update Date | 26/04/2021 |