Individual provider · Type 1 NPI
Ida Praile Sorongon, NURSE PRACTITIONER
Family Nurse Practitioner · Las Vegas, NV
NPI number
1700225844
Active
Practice location
3343 S Easterm Avenue
Las Vegas, NV 89169
Fax (702) 731-1020
Mailing address
8936 Spanish Ridge Ave
Las Vegas, NV 89148-1354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN001519 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700225844
Ida Praile Sorongon, NURSE PRACTITIONER's National Provider Identifier is 1700225844, issued on Jun 21, 2013. 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 9, 2019.