Organization · Type 2 NPI
Ganso Procyon Clinic PLLC
Primary Care Nurse Practitioner · Las Vegas, NV
NPI number
1003729310
Active
Practice location
3202 W Charleston Blvd
Las Vegas, NV 89102-1932
Mailing address
3202 W Charleston Blvd Ste 3
Las Vegas, NV 89102-1932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1003729310
Ganso Procyon Clinic PLLC's National Provider Identifier is 1003729310, issued on Sep 26, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 26, 2026.