Healthcare Provider Details

I. General information

NPI: 1801711882
Provider Name (Legal Business Name): ARIELLE JOICE MONZON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5044 TUNNEL FALLS DR
LAS VEGAS NV
89141-8647
US

IV. Provider business mailing address

5044 TUNNEL FALLS DR
LAS VEGAS NV
89141-8647
US

V. Phone/Fax

Practice location:
  • Phone: 702-882-9218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number904578
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: