MVP PRIMARY CARE LLC (NPI# 1871031906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871031906 |
| Entity Type | Organization |
| Organization Name | MVP PRIMARY CARE LLC |
| Practice Address |
6935-104 Aliante Parkway #509 North Las Vegas NV 89084 |
| Practice Telephone | 7025188831 |
| Practice Fax Number | 7026757789 |
| Mailing Telephone | 7025188831 |
| Mailing Fax Number | 7026757789 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | ANDREW PATRICK (OWNER) |
| Authorized Official Telephone | 7026728042 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6935-104 ALIANTE PARKWAY #509 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| 1467723643 | Men On The Rise Inc | Behavioral Analyst | 6509 Chatter St, N.las Vegas, NV 89084 | 2012-01-20 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089544 | Myles Angelo Aranda Ferrer | Nurse Practitioner | 4105 California Condor Ave, North Las Vegas, NV 89084-4803 | 2020-10-05 |
| 1639783210 | Nicole Marie Fetto | Nurse Practitioner | 3860 W Ann Rd, North Las Vegas, NV 89031-4409 | 2020-09-01 |
| 1851903108 | Vivian Gomez Villiatora | Nurse Practitioner | 8033 San Mateo St, North Las Vegas, NV 89085-2304 | 2020-08-18 |
| 1205444510 | Jasmine Manocha | Nurse Practitioner | 3516 Pelican Brief Ln, North Las Vegas, NV 89084-2365 | 2020-07-22 |
| 1306471677 | Shellie Aparicio | Nurse Practitioner | 6728 Fort William St, North Las Vegas, NV 89084-1103 | 2020-03-07 |
| 1528610151 | Maurice Sterner | Nurse Practitioner | 1129 Coral Crystal Ct, North Las Vegas, NV 89032-7834 | 2019-07-13 |
| 1093371692 | Earl Danielle Eugenio Salviejo | Nurse Practitioner | 1550 W Craig Rd Ste 100, North Las Vegas, NV 89032-0327 | 2019-05-20 |
| 1942865738 | Eboni Latrice Algee | Nurse Practitioner | 908 Eric Stocken Ave, North Las Vegas, NV 89081-4412 | 2019-05-07 |
| 1578036919 | Easterlyn Luzod Mendoza | Nurse Practitioner | 1517 Barrington Oaks St, North Las Vegas, NV 89084-2042 | 2019-01-08 |
| 1851868772 | Adalynn Celine Nesjan | Nurse Practitioner | 6434 Gilded Flicker Street, North Las Vegas, NV 89084-8908 | 2018-10-29 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on MVP PRIMARY CARE LLC.
| 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.