Ilana Bundage
Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV
NPI 1467091769 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1467091769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 3680 N Rancho Dr
Las Vegas, NV 89130-3180 - Phone
- (702) 646-5437
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
3680 N Rancho Dr
Las Vegas, NV 89130-3180
Mailing address
3680 N Rancho Dr
Las Vegas, NV 89130-3180
Other providers in Las Vegas, NV
- Rodney Bumpers
- Suchunya Bumrung
- Tuan Bun
- Jessica Meryl Bunch
- Ronisha Nicole Bunch
- Charry Anne Marie Bundalian
- Lisa R Bundy Greene
- Frances Bundy
- Olga Bunetska
- Yuliia Bunetska
All providers in Las Vegas, NV · Rehabilitation 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 Jan 3, 2020. 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.