Individual provider · Type 1 NPI
Lien Matos Legra
Family Nurse Practitioner · Las Vegas, NV
NPI number
1063126803
Active
Practice location
6350 S Durangodrive
Las Vegas, NV 89113
Fax (702) 437-0476
Mailing address
4436 Eureka Cir
Las Vegas, NV 89103-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 836985 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063126803
Lien Matos Legra's National Provider Identifier is 1063126803, issued on Jan 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 28, 2023.