Search › Nevada › 374U00000X
Jesse Nordstrom
NPI 1467112904 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3220 Terra Bella Dr
Las Vegas, NV 89108 - Phone
- (702) 428-2399
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada