LARA VANESSA PENA

LAS VEGAS, NV
NPI1801471446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NV  837956)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NV  837956)
Enumeration Date2021-03-15
Last Update Date2022-10-22
Business Address
LARA VANESSA PENA APRN
7065 ADLER FALLS ST
LAS VEGAS, NV 89118-4750
Phone number: 630-901-9995
Mailing Address
LARA VANESSA PENA APRN
7065 ADLER FALLS ST
LAS VEGAS, NV 89118-4750
Phone number: 630-901-9995