Provider Demographics
NPI:1538922927
Name:BUAN, LIZA (RN)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:
Last Name:BUAN
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:2682 SCORCH RED CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-1708
Mailing Address - Country:US
Mailing Address - Phone:702-688-1748
Mailing Address - Fax:
Practice Address - Street 1:4423 W FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3703
Practice Address - Country:US
Practice Address - Phone:702-458-1137
Practice Address - Fax:702-458-1423
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV24486163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health