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Contact Information

TERRA L FONSECA, PA-C
7751 W FLAMINGO RD STE A100
LAS VEGAS, NV89147-4399
 Phone: 702-804-6555
 Fax: 702-804-1222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TERRA L FONSECA · (Female)

NPI Number 1336539931
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/03/2015
Last updated 02/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NV Medicaid 1336539931
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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