Whalio Doctors

NPI 1033986070

Isis Legacy

Practitioner Nurse's Aide Las Vegas, NV

Practice location

Address
4423 W Flamingo Rd, Las Vegas, NV 89103-3703
Phone
(702) 458-1137
Fax
(702) 458-1423
Mailing address
1509 Lorilyn Ave Unit 3, Las Vegas, NV 89119-6385

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 845934 (NV)

Registry record

NPI
1033986070
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Dec 2023
Record last updated
11 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.