NPI 1003684754
Gabriel Wan
Practice location
- Address
- 4423 W Flamingo Rd, Las Vegas, NV 89103-3703
- Phone
- (702) 458-1137
- Fax
- (702) 458-1423
- Mailing address
- 10151 Dorrell Ln Unit 1156, Las Vegas, NV 89166-1035
Registered specialties
Home Health Registered Nurse
Primary
Registry record
- NPI
- 1003684754
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Dec 2023
- Record last updated
- 12 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.