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NPI Code Detail

MEDICARE: NADIASLY M SANTILLANO CUESTA APRN-CNP

MEDICARE: NADIASLY M SANTILLANO CUESTA 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
1163W00000XRegistered NurseRN92845NV
2363LF0000XFamily Nurse Practitioner831335NV

General Provider Information

NPI Number : 1134595259
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIASLY M SANTILLANO CUESTA APRN-CNP
Provider Business Mailing Address
First Line : 413 FINCH RIDGE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-9069
Country : US
Telephone Number : 713-478-2227
Fax Number :
Provider Business Practice Location Address
First Line : 2354 E BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3451
Country : US
Telephone Number : 702-508-0448
Fax Number : 702-718-0393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 03/13/2026

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Directions to “ NADIASLY M SANTILLANO CUESTA APRN-CNP” Practice Location

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