Healthcare Provider Details

I. General information

NPI: 1669207700
Provider Name (Legal Business Name): VAN ROBIER NOCON SANTIAGUEL MSN, RN, CHPN, CPHQ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3087 E WARM SPRINGS RD STE 200
LAS VEGAS NV
89120-3754
US

IV. Provider business mailing address

3087 E WARM SPRINGS RD STE 100
LAS VEGAS NV
89120-3754
US

V. Phone/Fax

Practice location:
  • Phone: 702-463-1011
  • Fax: 702-463-1219
Mailing address:
  • Phone: 702-405-9596
  • Fax: 702-405-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN99183
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN99183
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: