ADA N. NDULAKA


Address: 4275 Burnham Ave, #255, Las Vegas, NV 89119-5488
Phone: 7023690088

ADA N. NDULAKA (NPI# 1912251687) 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) 1912251687
Entity Type Individual
Full Name ADA N. NDULAKA
Other Name ADA N. EMENUGA
Credential FNP-BC
Practice Address 4275 Burnham Ave
#255
Las Vegas
NV 89119-5488
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7023690088
Practice Fax Number 7028934913
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2012-11-02
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN001798 NV Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN001798 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1912251687 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3210 San Maurizio Ave, Henderson, NV 890440481 7027104313

Office Location

Street Address 4275 BURNHAM AVE
#255
City LAS VEGAS
State NV
Zip Code 89119-5488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424867 Victor Yea-tse Chou Family Medicine 4275 Burnham Ave, #365, Las Vegas, NV 89119-5488 2005-08-11
1174034482 Elaine Dimalanta Guiang Nurse Practitioner 4275 Burnham Ave, Las Vegas, NV 89119 2017-10-13
1336486182 Emily D Labonte Registered Nurse 4275 Burnham Ave, 255, Las Vegas, NV 89119-5488 2013-01-14
1083962856 Mark A Perez, M.d., LLC Family Medicine 4275 Burnham Ave, Suite 235, Las Vegas, NV 89119-5488 2012-08-27
1750659157 United Sleep Centers, Inc. Clinical Medical Laboratory 4275 Burnham Ave, Suite 355, Las Vegas, NV 89119-5488 2011-12-13
1750689113 Good Shepherd Rehabilitations Clinic/Center 4275 Burnham Ave, Suite 255, Las Vegas, NV 89119-8204 2011-03-09
1487954129 Ivy Viado Physical Therapist 4275 Burnham Ave, Las Vegas, NV 89119-5488 2010-10-28
1346496114 Todd Richard Dukes Family Medicine 4275 Burnham Ave, Ste. 105, Las Vegas, NV 89119-5488 2008-08-13
1407002413 Ear Nose & Throat Specialists of Southern Nevada Inc Allergy & Immunology 4275 Burnham Ave, Suite 345, Las Vegas, NV 89119-5488 2008-08-10
1962661413 Good Shepherd Rehabilitation Institute Clinic/Center 4275 Burnham Ave, Ste 255, Las Vegas, NV 89119-5488 2008-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
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1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1104445394 Universal Psychiatry LLC Nurse Practitioner 270 E Flamingo Rd Unit 122, Las Vegas, NV 89169-0325 2020-04-09
1952931271 Paramount Healthcare Services Corp Nurse Practitioner 10141 Rockridge Peak Ave, Las Vegas, NV 89166-5200 2020-01-26
1730642182 Aban Medical Services Nurse Practitioner 10145 Eagle Haven St, Las Vegas, NV 89141-8781 2019-04-11
1750857728 Jan Michael Arceo Nurse Practitioner 3140 S Rainbow Blvd Ste 401, Las Vegas, NV 89146-6234 2018-10-17
1780110247 Jon A Failla Aprn Pllc Nurse Practitioner 182 Apache Tear Ct, Las Vegas, NV 89123-2996 2017-05-03
1023565074 Bright Star Nurse Care LLC Nurse Practitioner 8337 Fox Brook St, Las Vegas, NV 89139-6755 2016-09-07
1467805119 Kasey James Dean Nurse Practitioner 3321 N Buffalo Dr, Suite 200, Las Vegas, NV 89129-6678 2016-07-18
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Competitor

Search similar providers

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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