Individual provider · NPI-1
Dina Alzadon, MSN, AGPCNP-BC
Nurse Practitioner, Gerontology · Henderson, NV
NPI number1962982728
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1962982728
- Entity type
- Individual (NPI-1)
- Name
- Dina Alzadon
- Credential
- MSN, AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 811584 | NV | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 811584 | NV | |
| 363LP2300X | Nurse Practitioner, Primary Care | 811584 | NV |
Practice location
100 N Green Valley Pkwy Ste 240Henderson, NV 89074-7704
Phone 702-938-0088 · Fax 702-260-4689
Mailing address
Po Box 98978Las Vegas, NV 89193-8978
Phone 702-216-3346 · Fax 702-671-6883
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