D'Agostino, Meredith Nettles
D'Agostino, Meredith Nettles is an individual health care provider with primary practice located at 500 N Rainbow Blvd Ste 300-345 , Las Vegas NV 89107-1082. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. D'Agostino, Meredith Nettles can be contacted via phone (833) 246-8353.Contact Information
Primary practice address
500 N Rainbow Blvd Ste 300-345
Las Vegas NV 89107-1082
Phone: (833) 246-8353
Fax: (844) 750-6902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3584 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3584 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 816203 | Nevada |
Profile Details
| NPI number | 1871752303 |
|---|---|
| LBN Legal business name | D'Agostino, Meredith Nettles |
| Credentials | DNP, PMHNP, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Sep 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871752303 | NPPES |
| South Carolina | MEDICAID | NP1367 | |
| South Carolina | Other | 3584-APRN | |
| South Carolina | Other | 816203 |
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