NPI 1194085472

Brianne Wadtke

Practitioner Independent Duty Medical Technicians North Las Vegas, NV

Practice location

Address: 405 Prairie Moon Ave, North Las Vegas, NV 89084-1257
Phone: (702) 534-0321

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1194085472
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2012
Record last updated: 21 May 2012

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.