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NPI Code Detail

MEDICARE: GEOVANEE SANTIAGO LAYA APRN-CNP

MEDICARE: GEOVANEE SANTIAGO LAYA APRN-CNP
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
1363LF0000XFamily Nurse Practitioner835841NV

General Provider Information

NPI Number : 1003799198
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOVANEE SANTIAGO LAYA APRN-CNP
Provider Business Mailing Address
First Line : 9190 BLUE POPPY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5393
Country : US
Telephone Number : 808-722-1039
Fax Number :
Provider Business Practice Location Address
First Line : 1845 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7113
Country : US
Telephone Number : 702-485-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 07/29/2025

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Directions to “ GEOVANEE SANTIAGO LAYA APRN-CNP” Practice Location

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