Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 8303 | NV |
NPI | 1962408179 |
---|---|
Provider Name | Vincent Peter Nalbone |
First Address | Las Vegas, NV 89148-1245 |
Second Address | Las Vegas, NV 89148-1245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 14/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G47543 | (02) |