Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 18608 | NV |
NPI | 1326314055 |
---|---|
Provider Name | Roxanna Twedt |
First Address | Las Vegas, NV 89106-4007 |
Second Address | Las Vegas, NV 89106-4007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 08/08/2019 |