Rand, Teresita D

Rand, Teresita D is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rand, Teresita D can be contacted via phone (702) 653-3257.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA884 Nevada

Profile Details

NPI number 1477635464
LBN Legal business name Rand, Teresita D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Nov 28th, 2017 - about 9 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 1477635464 NPPES
Nevada MEDICAID 100505584

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