Healthcare Provider Details

I. General information

NPI: 1659078608
Provider Name (Legal Business Name): ARLETTE MERCEDES RODRIGUEZ DELGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 02/10/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 WHITWORTH AVE
LAS VEGAS NV
89148-5348
US

IV. Provider business mailing address

2722 WILD CACTUS CT
LAS VEGAS NV
89156-7577
US

V. Phone/Fax

Practice location:
  • Phone: 702-401-2111
  • Fax:
Mailing address:
  • Phone: 702-401-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: