person
David J Memmoli, APRN
Psychiatric/Mental Health Nurse Practitioner in Las Vegas, Nevada
NPI 1891978607

David J Memmoli is a Psychiatric/Mental Health Nurse Practitioner based in Las Vegas, NV and is specialized in Psychiatric/Mental Health. David J Memmoli practices in Las Vegas, NV and has the professional credentials of APRN. The NPI Number for David J Memmoli is 1891978607 and holds a License No. 26NJ00146200 (Nevada).

The current practice location address for David J Memmoli is 8960 W Cheyenne Ave Unit 190, Las Vegas, NV and can be reached out via phone at 702-656-0016 and via fax at 702-933-8690. You can also correspond with David J Memmoli through the mailing address at 8960 W CHEYENNE AVE UNIT 190, LAS VEGAS, NV - 89129-8929 (mailing address contact number: 702-596-6249).

Location: 8960 W Cheyenne Ave Unit 190, Las Vegas, NV, 89129-8929
person
Provider Profile Details
NPI Number
1891978607
Provider Name
David J Memmoli
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
8960 W Cheyenne Ave Unit 190, Las Vegas, NV, 89129-8929
Phone Number
702-656-0016
Fax Number
702-933-8690
Provider Enumeration Date
12/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891978607 05 NV
institution
Provider Business Practice Location Address Details
Address
8960 W Cheyenne Ave Unit 190
City
State
Zip
89129
Phone Number
702-656-0016
Fax Number
702-933-8690
person
Provider Business Mailing Address Details
Address
8960 W Cheyenne Ave Unit 190
City
State
Zip
89129
Phone Number
702-656-0016
Fax Number
702-933-8690
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ00146200 (New Jersey)
Definition
Definition to come...
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