Paul Joshua Adordionicio
Individual provider Active NPI Licensed Practical Nurse · Las Vegas, NV
NPI 1043035280 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1043035280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 870015 (NV)
- Practice address
- 250 Pilot Rd
Las Vegas, NV 89119-3542 - Phone
- (702) 982-3292
- NPI assigned
- Nov 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870015 | NV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 870015 | NV | Yes |
Addresses
Primary practice location
250 Pilot Rd
Las Vegas, NV 89119-3542
Mailing address
250 Pilot Rd
Las Vegas, NV 89119-3542
Phone (702) 982-3292
Other providers in Las Vegas, NV
- Marissa Schanbacher Adolfo
- Zenaida Adolfo
- Jasmine Adolphus
- Adonai Counseling & Consulting, PLLC
- Adoration Home Health Care Nevada, LLC
- Manuel A Adorna Ensenat
- Zulmarie Adorno-Maldonado
- Jessica R Adorno
- Adria Consulting LLC
- Adrian Adrian a Professional Corporation
All providers in Las Vegas, NV · Licensed Practical Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.