Carl Anthony Plaza, FNP-C
Nurse Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1790242543
StatusActive
Last updated in NPPESMay 4, 2022
Details
- NPI
- 1790242543
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carl Anthony Plaza
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Certification date
- May 4, 2022
- Last updated
- May 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 816592 | NV | Yes |
| 363LF0000X | Nurse Practitioner, Family | 816592 | NV |
Practice location
540 N Nellis BlvdLas Vegas, NV 89110-5368
Phone 702-877-5199
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-877-5199 · Fax 702-227-0523
Other practice locations
3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Las Vegas, NV 89103-2283
Phone 702-880-4193 · Fax 702-227-0523
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