Patrick Bagadiong, RN

Individual provider Active NPI Home Health Registered Nurse · Las Vegas, NV

NPI 1740044015 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1740044015
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
RN87627 (NV)
Practice address
2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208
Phone
(725) 251-3854
Fax
(725) 780-1114
NPI assigned
Feb 7, 2024
Sex
Male
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN87627NVMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN87627 NV Yes

Addresses

Primary practice location

2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208

Mailing address

2950 E Flamingo Rd Ste H
Las Vegas, NV 89121-5208
Phone (725) 251-3854

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Registered Nurse in Nevada

Sources for this page

Verify at the official NPI Registry.