MRS. JASMINA SANTOS FORNBACHER


Address: 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768
Phone: 7029826402

MRS. JASMINA SANTOS FORNBACHER (NPI# 1164901245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164901245
Entity Type Individual
Full Name MRS. JASMINA SANTOS FORNBACHER
Credential APRN
Practice Address 7325 S Pecos Rd Ste 102
Las Vegas
NV 89120-3768
Practice Telephone 7029826402
Practice Fax Number 7022020674
Mailing Telephone 7029826402
Mailing Fax Number 7022020674
Enumeration Date 2018-08-09
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
812066 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7325 S PECOS RD STE 102
City LAS VEGAS
State NV
Zip Code 89120-3768

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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