Detie, Angela Regina

Detie, Angela Regina is an individual health care provider with primary practice located at 8480 S Eastern Ave Ste F , Las Vegas NV 89123-2822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Detie, Angela Regina can be contacted via phone (702) 914-6900.

Contact Information

Primary practice address
8480 S Eastern Ave Ste F Las Vegas NV 89123-2822
Phone: (702) 914-6900
Fax: (702) 914-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN0512 Nevada

Profile Details

NPI number 1548229768
LBN Legal business name Detie, Angela Regina
Credentials APN,CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 12th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548229768 NPPES
Nevada MEDICAID 002402016
Nevada Other 151678
Nevada Other CC8630

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