MEDICARE: AMBER MAE SALVADOR MIYASHIRO

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	163WX0200X	Oncology Registered Nurse	812147	NV

General Provider Information

NPI Number	:	1285576199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER MAE SALVADOR MIYASHIRO

Provider Business Mailing Address
First Line	:	9228 COWBOY RAIN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-5551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 N TOWN CENTER DR STE 402
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0518
Country	:	US
Telephone Number	:	702-243-7200
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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