Mcclellan, Patricia Darlene

Mcclellan, Patricia Darlene is an individual health care provider with primary practice located at 3960 W Craig Rd Suite 101, North Las Vegas NV 89032-2731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcclellan, Patricia Darlene can be contacted via phone (702) 473-8380.

Contact Information

Primary practice address
3960 W Craig Rd Suite 101 North Las Vegas NV 89032-2731
Fax: (702) 473-8383
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-C48 Nevada

Profile Details

NPI number 1316966617
LBN Legal business name Mcclellan, Patricia Darlene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 25th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316966617 NPPES
Nevada MEDICAID 1316966617

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