Individual provider · Type 1 NPI

Alissa Fuller Sidebottom, LPN

Licensed Practical Nurse · Las Vegas, NV

NPI number 1013765262 Active

Practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Fax (702) 982-5286

Mailing address

730 Oakmont Ave Unit 909
Las Vegas, NV 89109-0109

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X866517 (NV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013765262

Alissa Fuller Sidebottom, LPN's National Provider Identifier is 1013765262, issued on May 10, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Las Vegas, NV. The record was last updated on May 10, 2024.