MEDICARE: MELISSA GIL-HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker		NV

General Provider Information

NPI Number	:	1497690341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA GIL-HERNANDEZ

Provider Business Mailing Address
First Line	:	4040 N MARTIN L KING BLVD STE A
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3205
Country	:	US
Telephone Number	:	702-644-4673
Fax Number	:	855-379-3830

Provider Business Practice Location Address
First Line	:	4040 N MARTIN L KING BLVD STE A
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3205
Country	:	US
Telephone Number	:	702-644-4673
Fax Number	:	855-379-3830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ MELISSA GIL-HERNANDEZ ” Practice Location

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