Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 816226 | NV |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 816226 | NV |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 816226 | NV |
NPI | 1619448289 |
---|---|
Provider Name | Wayne Seare |
First Address | Henderson, NV 89074-5400 |
Second Address | Las Vegas, NV 89183-5602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2018 |
Last Update Date | 05/08/2020 |