MEDICARE: DENNIS JON SCIACCA 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	822067	NV

General Provider Information

NPI Number	:	1073441184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS JON SCIACCA APRN

Provider Business Mailing Address
First Line	:	10384 SMOKEMONT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-4505
Country	:	US
Telephone Number	:	702-303-9656
Fax Number	:

Provider Business Practice Location Address
First Line	:	2031 MCDANIEL ST STE 200
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6312
Country	:	US
Telephone Number	:	702-294-0080
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ DENNIS JON SCIACCA APRN” Practice Location

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