Individual provider · Type 1 NPI
Johaness Blaine Reyes
Family Nurse Practitioner · Las Vegas, NV
NPI number
1083434690
Active
Practice location
2625 S Rainbow Blvd Ste C102
Las Vegas, NV 89146-5181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 833755 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083434690
Johaness Blaine Reyes's National Provider Identifier is 1083434690, issued on Oct 16, 2024. 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 Oct 16, 2024.