Healthcare Provider Details

I. General information

NPI: 1932743465
Provider Name (Legal Business Name): MS. CHRISTIAN ESTRADA MORAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 08/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 REYNOLDS AVE SUITE 100
N. LAS VEGAS NV
89030
US

IV. Provider business mailing address

2415 REYNOLDS AVE SUITE 100
N. LAS VEGAS NV
89030
US

V. Phone/Fax

Practice location:
  • Phone: 702-936-1737
  • Fax:
Mailing address:
  • Phone: 702-906-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: