Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 13865 | NV |
N | 207R00000X | Internist | 13865 | NV |
N | 111NI0900X | Internist | 13865 | NV |
NPI | 1013039072 |
---|---|
Provider Name | Victoria Guerra Farley |
First Address | Las Vegas, NV 89148-2421 |
Second Address | Las Vegas, NV 89148-2421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 30/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013039072 | (05) | NV |