Healthcare Provider Details

I. General information

NPI: 1609534502
Provider Name (Legal Business Name): NATHALIE SALAFRANCA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 TALIPUT PALM PL
HENDERSON NV
89011-2629
US

IV. Provider business mailing address

709 TALIPUT PALM PL
HENDERSON NV
89011-2629
US

V. Phone/Fax

Practice location:
  • Phone: 702-275-9425
  • Fax:
Mailing address:
  • Phone: 702-275-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number848923
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN74808
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: