Healthcare Provider Details

I. General information

NPI: 1871418970
Provider Name (Legal Business Name): ALTHEA PATANO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 N PECOS RD
HENDERSON NV
89074-1918
US

IV. Provider business mailing address

291 N PECOS RD
HENDERSON NV
89074-1918
US

V. Phone/Fax

Practice location:
  • Phone: 702-616-9471
  • Fax: 702-616-9681
Mailing address:
  • Phone: 702-616-9471
  • Fax: 702-616-9681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number837394
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: