MEDICARE: MARIA MONICA ARAGON FNP-C

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	363L00000X	Nurse Practitioner	811583	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124504477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA MONICA ARAGON FNP-C

Provider Business Mailing Address
First Line	:	5813 BRILLIANT BLUE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3719
Country	:	US
Telephone Number	:	702-355-2668
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 W CHARLESTON BLVD STE 6
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1940
Country	:	US
Telephone Number	:	702-878-5252
Fax Number	:	702-878-1963

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

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	01/25/2019

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