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Provider Information for 1679817274

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

NOEMI NOBLE DEL ROSARIO

Other Name:   NOEMI DEL ROSARIO
Gender: FEMALE

Individual NPI: 1679817274

Calendar   Last Updated:  2020-11-12
  Certification Date:  2020-11-12

Details

Name Value
NPI 1679817274
Enumeration Date 2012-11-20
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1905 MCDANIEL ST STE 105
NORTH LAS VEGAS, NV 89030-7170
United States

Phone: 702-868-7777 | Fax: 702-260-0333
View Map External Link
Primary Practice Address 1905 MCDANIEL ST STE 105
NORTH LAS VEGAS, NV 89030-7170
United States

Phone: 702-868-7777 | Fax: 702-260-0333
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other URL referrals Health Information Exchange (HIE) CSV 1905 MCDANIEL ST STE 105
NORTH LAS VEGAS, NV 89030-7170
United States
Other Identifiers
Issuer State Number
MEDICAID NV 1679817274
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family NV APN001444