Symour Omandac Sr.
Nurse Practitioner, Family in Las Vegas, NV. Individual provider (NPI-1).
NPI number1952829376
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1952829376
- Entity type
- Individual (NPI-1)
- Name
- Symour Omandac Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN002613 | NV | Yes |
Practice location
5000 W Oakey Blvd Ste A7Las Vegas, NV 89146-3394
Phone 702-242-4663 · Fax 702-242-4662
Mailing address
5000 W Oakey Blvd Ste A7Las Vegas, NV 89146-3394
Phone 702-242-4663 · Fax 702-242-4662
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