Memmoli, David J

Memmoli, David J is an individual health care provider with primary practice located at 8960 W Cheyenne Ave Unit 190 , Las Vegas NV 89129. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Memmoli, David J can be contacted via phone (702) 656-0016.

Contact Information

Primary practice address
8960 W Cheyenne Ave Unit 190 Las Vegas NV 89129
Phone: (702) 656-0016
Fax: (702) 933-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00146200 New Jersey

Profile Details

NPI number 1891978607
LBN Legal business name Memmoli, David J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2007
Last updated Aug 14th, 2023 - 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 1891978607 NPPES
Nevada MEDICAID 1891978607

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