MEDICARE: AMANDA PRIETO CRUZ

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	374U00000X	Home Health Aide	894684	NV

General Provider Information

NPI Number	:	1003784778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA PRIETO CRUZ

Provider Business Mailing Address
First Line	:	9100 W FLAMINGO RD UNIT 2092
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6407
Country	:	US
Telephone Number	:	702-717-1952
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 W FLAMINGO RD UNIT 2092
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6407
Country	:	US
Telephone Number	:	702-717-1952
Fax Number	:

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

Provider Enumeration Date	:	10/25/2025
Last Update Date	:	10/25/2025

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Directions to “ AMANDA PRIETO CRUZ ” Practice Location

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