Individual provider · Type 1 NPI
Stanley Kidiavayi, APRN
Family Nurse Practitioner · Las Vegas, NV
NPI number
1902290968
Active
Practice location
801 S Rancho Dr Ste B1B
Las Vegas, NV 89106-3871
Fax (702) 912-2273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN002072 (NV) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN002072 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902290968
Stanley Kidiavayi, APRN's National Provider Identifier is 1902290968, issued on Mar 26, 2015. 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 Jan 26, 2023.