MEDICARE: ADRIAN NICHOLAS

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	225700000X	Massage Therapist	NVMT.13089	NV

General Provider Information

NPI Number	:	1104613702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN NICHOLAS

Provider Business Mailing Address
First Line	:	7413 W RUSSELL RD APT 232
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-0725
Country	:	US
Telephone Number	:	702-806-5694
Fax Number	:

Provider Business Practice Location Address
First Line	:	7413 W RUSSELL RD APT 232
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-0725
Country	:	US
Telephone Number	:	702-806-5694
Fax Number	:

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

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

Similar Medicare Providers

1114435385 — WINSTON HIERI SCCOTT
Practice Location Address:

2408 ALMA LIDIA AVE
NORTH LAS VEGAS, NV
89032-0725

Practice Phone: 702-244-0900
Practice Fax:

1508704271 — DR. ALEEZA MAE VASQUEZ GARCIA
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3561
Practice Fax:

1275238016 — WILLIAM JOSEPH HEIDMAN MD
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3561
Practice Fax:

1154260354 — YAACOV FAKIRO
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3564
Practice Fax:

1023956430 — PRAXIS ANESTHESIA KRAVCHENKO GROUP PC
Practice Location Address:

8530 W SUNSET RD STE 100
LAS VEGAS, NV
89113-2244

Practice Phone: 702-789-5700
Practice Fax:

1558200550 — DANIA VIRGINIA CORRALES
Practice Location Address:

6655 S CIMARRON RD STE 100
LAS VEGAS, NV
89113-2181

Practice Phone: 702-853-3565
Practice Fax:

Directions to “ ADRIAN NICHOLAS ” 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 © 2007-2026 (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.