Nilda Alabro Atienza-Isman
Individual provider Active NPI Family Nurse Practitioner · Las Vegas, NV
NPI 1780171041 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1780171041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN002877 (NV)
- Practice address
- 2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632 - Phone
- (702) 685-3300
- NPI assigned
- Apr 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190226003364 | NV | Practitioner - Nurse Practitioner | 9032458674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002877 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward S. Victoria, PLLC | Current |
Accepting new patients |
Locations
2701 N Tenaya Way
Ste 190
Las Vegas, NV 89128
Phone (702) 463-3008
Interoperability endpoints
- nilda.atienzaismannp.p1@direct.afh.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN002877 | NV | Yes |
Addresses
Primary practice location
2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632
Mailing address
4270 S Decatur Blvd
Ste a-1a
Las Vegas, NV 89103-6800
Phone (702) 798-7770
Other providers in Las Vegas, NV
- Athleticare, Inc.
- Ati Hakimi MD, Prof LLC
- Ati Inc
- Ati Inc
- Ati Inc
- Danica San Agustin Atienza
- Katelyne May Atijera
- Kariz Atiq
- Stephanie Lynn Atiyeh
- Jackalyn Atkins Thornton
All providers in Las Vegas, NV · Family 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 Sep 28, 2018. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.