DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NATHANIA LOUISE PARK FNP-BC

MEDICARE: NATHANIA LOUISE PARK FNP-BC
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPRN001734NV
2363LF0000XFamily Nurse PractitionerAPRN001734NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2APRN001734OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1790188555
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIA LOUISE PARK FNP-BC
Provider Business Mailing Address
First Line : 6355 S BUFFALO DR FL 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2133
Country : US
Telephone Number : 702-216-3346
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 821 N NELLIS BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5387
Country : US
Telephone Number : 702-438-4003
Fax Number : 702-438-0555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 10/19/2022

Similar Medicare Providers

1225028731 — CHRISTO A HADJIEV MD
Practice Location Address:
821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387
Practice Phone: 702-438-4003
Practice Fax: 702-438-0555
1063470417 — ROSE MARIE MCINTOSH FNPC CS
Practice Location Address:
821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387
Practice Phone: 702-438-4003
Practice Fax: 702-438-0555
1427061928 — LARRY STRAUB PT
Practice Location Address:
821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387
Practice Phone: 702-452-4563
Practice Fax: 702-452-6704
1487763058 — WILLIAM DEREK RICHARDSON
Practice Location Address:
821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387
Practice Phone: 702-452-4563
Practice Fax:
1376837823 — DR. ELAN GADA M.D.
Practice Location Address:
821 N NELLIS BLVD STE 100
LAS VEGAS, NV
89110-5387
Practice Phone: 702-438-4003
Practice Fax: 702-438-0555
1972852721 — CHRISTOPHER RYAN FRIAS OTR/L
Practice Location Address:
821 N NELLIS BLVD STE 130
LAS VEGAS, NV
89110-5387
Practice Phone: 702-452-4563
Practice Fax:

Directions to “ NATHANIA LOUISE PARK FNP-BC” 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.