MEDICARE: ARCADIAN LLC

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

General Provider Information

NPI Number	:	1285402164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIAN LLC

Provider Business Mailing Address
First Line	:	5550 S FORT APACHE RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7667
Country	:	US
Telephone Number	:	702-899-0100
Fax Number	:	702-899-3331

Provider Business Practice Location Address
First Line	:	5550 S FORT APACHE RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7667
Country	:	US
Telephone Number	:	702-889-0100
Fax Number	:	702-889-3331

Authorized Official
Title or Position	:	CFO
Name	:	AZZEDDINE AZZAT
Credential	:
Telephone Number	:	702-899-0100

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	01/22/2026

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Directions to “ARCADIAN LLC ” Practice Location

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