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General NPI Number Information
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NPI Number | 1629189881
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Entity Type | Individual
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Provider Name | VINCENT G MIONE C.R.N.A.; A.R.N.P.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 700 SHADOW LN STE. 165A
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City | LAS VEGAS
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State | NV
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Zip | 89106-4126
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Country | US
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Telephone | 702-382-8101
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Fax | 702-382-4890
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Provider Business Mailing Address
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Address Line | 2408 W EL CAMPO GRANDE AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89031-1171
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Country | US
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Telephone | 702-658-0270
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA000240
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License Number State | NV
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