MR. ROBERT JOSEPH VADOVIC


Address: 4275 Burnham Ave, Suite 105, Las Vegas, NV 89119-5488
Phone: 7027346363

MR. ROBERT JOSEPH VADOVIC (NPI# 1558555714) 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) 1558555714
Entity Type Individual
Full Name MR. ROBERT JOSEPH VADOVIC
Credential RN, MSN, ANP-C
Practice Address 4275 Burnham Ave
Suite 105
Las Vegas
NV 89119-5488
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7027346363
Practice Fax Number 7027346374
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2007-08-30
Last Update Date 2014-06-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN001711 NV Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00141600 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV PENDING 05

Office Location

Street Address 4275 BURNHAM AVE
SUITE 105
City LAS VEGAS
State NV
Zip Code 89119-5488

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NPI Name Taxonomy Address Enumeration
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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 89119

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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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