MEDICARE: MIA LOPREIATO 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
1	363LP2300X	Primary Care Nurse Practitioner	APRN847936	NV

General Provider Information

NPI Number	:	1164177309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA LOPREIATO CNP

Provider Business Mailing Address
First Line	:	848 N RAINBOW BLVD # 2034
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1103
Country	:	US
Telephone Number	:	505-900-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	3085 S JONES BLVD STE E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6767
Country	:	US
Telephone Number	:	505-900-5642
Fax Number	:

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

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	03/09/2026

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