Individual provider · Type 1 NPI
Crystal Sowa
Family Nurse Practitioner · Las Vegas, NV
NPI number
1700409232
Active
Practice location
4505 S Maryland Pkwy
Las Vegas, NV 89154-9900
Mailing address
9729 Blistering Sun Ave
Las Vegas, NV 89149-5235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 829997 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700409232
Crystal Sowa's National Provider Identifier is 1700409232, issued on May 19, 2020. 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 May 19, 2020.