MEDICARE: OLIVIA MICHELLE BISIGNANO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	836118	NV

General Provider Information

NPI Number	:	1003419946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA MICHELLE BISIGNANO APRN

Provider Business Mailing Address
First Line	:	8310 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1873
Country	:	US
Telephone Number	:	702-243-4501
Fax Number	:	702-243-4701

Provider Business Practice Location Address
First Line	:	8310 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1873
Country	:	US
Telephone Number	:	702-243-4501
Fax Number	:	702-243-4701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	12/05/2023

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