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Ida Praile Sorongon, NURSEPRACTITIONER
Family Nurse Practitioner in Las Vegas, Nevada
NPI 1700225844

Ida Praile Sorongon is a Family Nurse Practitioner based in Las Vegas, NV and is specialized in Family. Ida Praile Sorongon practices in Las Vegas, NV and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Ida Praile Sorongon is 1700225844 and holds a License No. APN001519 (Nevada).

The current practice location address for Ida Praile Sorongon is 3343 S Easterm Avenue, Las Vegas, NV and can be reached out via phone at 702-731-0909 and via fax at 702-731-1020.

Location: 3343 S Easterm Avenue, Las Vegas, NV, 89148-1354
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Provider Profile Details
NPI Number
1700225844
Provider Name
Ida Praile Sorongon
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
3343 S Easterm Avenue, Las Vegas, NV, 89148-1354
Phone Number
702-731-0909
Fax Number
702-731-1020
Provider Enumeration Date
06/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700225844 05 NV
institution
Provider Business Practice Location Address Details
Address
3343 S Easterm Avenue
City
State
Zip
89169
Phone Number
702-731-0909
Fax Number
702-731-1020
person
Provider Business Mailing Address Details
Address
3343 S Easterm Avenue
City
State
Zip
89169
Phone Number
702-731-0909
Fax Number
702-731-1020
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN001519 (Nevada)
Definition
Definition to come...
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