MEDICARE: MR. NICHOLAS PAUL PITUK MS, LAT, ATC

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	2255A2300X	Athletic Trainer	0506190	NV

General Provider Information

NPI Number	:	1689278533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS PAUL PITUK MS, LAT, ATC

Provider Business Mailing Address
First Line	:	909 CANOSA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2827
Country	:	US
Telephone Number	:	703-405-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	6425 S JONES BLVD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3303
Country	:	US
Telephone Number	:	703-405-9106
Fax Number	:

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

Provider Enumeration Date	:	11/22/2020
Last Update Date	:	11/22/2020

Similar Medicare Providers

1952245045 — ALWAYS ACCESSIBLE HOME CARE SERVICES
Practice Location Address:

6529 ALTA DR
LAS VEGAS, NV
89107-3303

Practice Phone: 725-301-5586
Practice Fax:

1013332378 — PATIENT PAL URGENT CARE LLC
Practice Location Address:

11860 SOUTHERN HIGHLANDS PKWY , #102
LAS VEGAS, NV
89141-3303

Practice Phone: 702-737-2273
Practice Fax: 702-823-2556

1679081301 — MRS. SHERRLLE L GOHEGAN
Practice Location Address:

3303 KIDD ST
N LAS VEGAS, NV
89032-7737

Practice Phone: 702-517-3579
Practice Fax: 702-293-3664

1508349119 — TRUE POSSIBILITIES LLC
Practice Location Address:

7232 DAINTREE CT
LAS VEGAS, NV
89113-3303

Practice Phone: 702-279-9157
Practice Fax:

1124421920 — ABRAHAM VASQUEZ
Practice Location Address:

3303 OAK ST
LAS CRUCES, NM
88005-7725

Practice Phone: 575-932-8425
Practice Fax:

1336534643 — GLORIA VASQUEZ
Practice Location Address:

3303 OAK ST
LAS CRUCES, NM
88005-7725

Practice Phone: 575-932-8425
Practice Fax:

Directions to “ MR. NICHOLAS PAUL PITUK MS, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.