MEDICARE: MR. JOHN R PHOENIX 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	APN001359	NV
2	363LF0000X	Family Nurse Practitioner	APRN001359	NV

General Provider Information

NPI Number	:	1013289024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN R PHOENIX APRN

Provider Business Mailing Address
First Line	:	1909 COCHRAN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3538
Country	:	US
Telephone Number	:	702-278-9684
Fax Number	:	702-330-4499

Provider Business Practice Location Address
First Line	:	1909 COCHRAN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3538
Country	:	US
Telephone Number	:	702-278-9684
Fax Number	:	702-330-4499

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

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	05/31/2025

Similar Medicare Providers

1821212051 — TOM ABRAHAM THOMAS LCSW
Practice Location Address:

1905 COCHRAN ST
LAS VEGAS, NV
89104-3538

Practice Phone: 702-737-5048
Practice Fax: 702-737-4752

1750654430 — ITS ALL ABOUT YOU
Practice Location Address:

6132 PASSIONATE CT
N LAS VEGAS, NV
89031-3538

Practice Phone: 702-743-5908
Practice Fax:

1972865087 — DIVERSITY FAMILY SERVICES
Practice Location Address:

6132 PASSIONATE CT
NORTH LAS VEGAS, NV
89031-3538

Practice Phone: 702-743-5908
Practice Fax:

1528623691 — SHANNON MONIQUE ROBERTS
Practice Location Address:

6148 PASSIONATE CT
N LAS VEGAS, NV
89031-3538

Practice Phone: 702-465-4001
Practice Fax:

1609462266 — RICHARD CASTLE
Practice Location Address:

4246 ZAVALA ST APT 2
LAS VEGAS, NV
89103-3538

Practice Phone: 702-666-5484
Practice Fax:

1194471342 — KELL THORNTON
Practice Location Address:

6132 PASSIONATE CT
NORTH LAS VEGAS, NV
89031-3538

Practice Phone: 773-354-2459
Practice Fax:

Directions to “ MR. JOHN R PHOENIX APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.