Doctor Name: | ELITA PALLASIGUI |
NPI Number: | 1013376136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | APRN002099 |
Business Practice Address: | 6900 Pecos Rd N Las Vegas, NV - 890864400 |
Business Phone Number: | 7027919000 |
Business Fax Number: | |
Mailing Address: | 10247 Sunset Gardens Dr, LAS VEGAS |
State: | NV |
Postal Code: | 891352895 |
Phone Number: | 7027919000 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | APRN002099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |