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Amado-Alexander Agrisola, PMHNP-BC Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV

NPI
1326808379
Type
Individual (Type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LP0808X
License number
876742 (NV)
Sex
Male
Sole proprietor
No
Enumerated
2024-03-19
Last updated
2024-08-16
Practice location
4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
(702) 485-2100

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