Fernando Acosta
Individual provider Active NPI Personal Care Attendant · Las Vegas, NV
NPI 1902432966 · NPPES record last updated Mar 20, 2020
Key facts
- NPI
- 1902432966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 4820 Cannon Cir
Las Vegas, NV 89108-1317 - Phone
- (702) 573-1383
- NPI assigned
- Mar 20, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
4820 Cannon Cir
Las Vegas, NV 89108-1317
Mailing address
4820 Cannon Cir
Las Vegas, NV 89108-1317
Phone (702) 573-1383
Other providers in Las Vegas, NV
- Eduardo Padlan Acosta
- Eliza C. Acosta
- Elizabeth Acosta
- Elvira B. Acosta
- Emmanuel G Acosta
- Gabriela Acosta
- Gregory Acosta
- Hades Acosta
- Jassie Acosta
- Jocelyne Acosta
All providers in Las Vegas, NV · Personal Care Attendant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 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.