RAVEN ENNIS

LAS VEGAS, NV
NPI1407278757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NV  APRN002372)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NV  RN73437)
Enumeration Date2014-01-06
Last Update Date2021-03-22
Business Address
RAVEN ENNIS
4270 S DECATUR BLVD STE B6
LAS VEGAS, NV 89103-6802
Phone number: 702-485-2100
Mailing Address
RAVEN ENNIS
4270 S DECATUR BLVD STE B6
LAS VEGAS, NV 89103-6802
Phone number: 702-485-2100