Aplo Health and Aesthetics LLC
Organization Active NPI Adult Health Nurse Practitioner · Las Vegas, NV
NPI 1104473248 · NPPES record last updated Feb 27, 2020
Key facts
- NPI
- 1104473248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- APLO HEALTH AND AESTHETICS LLC
- Practice address
- 2831 Business Park CT Ste 110
Las Vegas, NV 89128-9010 - Phone
- (702) 713-5347
- Fax
- (844) 858-9345
- NPI assigned
- Aug 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jenesa Aguiluz-Dizon
- Title
- Aprn
- Phone
- (509) 713-4619
Practitioners 4
-
Marissa Schanbacher Adolfo, AGPC-BC;APRN
-
Julie Federico Palacios, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191204000265 | NV | Part B Supplier - Clinic/Group Practice | 2062845175 |
Receives reassigned benefits from 4 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
2831 Business Park CT Ste 110
Las Vegas, NV 89128-9010
Mailing address
10881 Woods Hole Bay St
Las Vegas, NV 89179-1457
Other practice location 1
4200 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone (509) 713-4619
Other practice location 2
1330 Karen Ave Ste B
Las Vegas, NV 89169-1260
Phone (702) 748-8009
Other names
- ICare Medical Clinic
Other providers in Las Vegas, NV
- Apex Mobile Imaging, LLC
- Apex Pain Specialist Las Vegas Inc
- Raisa Caridad Apezteguia
- Patricia Apicella de la Torre
- Patrick Apilado
- Apm Medical Supplies
- Apm Medical Supplies
- Apnea Medical Services
- Jennifer Apodaca
- Tammie Apodaca
All providers in Las Vegas, NV · Adult Health Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.