MEDICARE: ESTELA ESTELA AGUILAR APRN, FNP-BC

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	866542	NV

General Provider Information

NPI Number	:	1336836386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELA ESTELA AGUILAR APRN, FNP-BC

Provider Business Mailing Address
First Line	:	6812 EMERALD TREE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-7908
Country	:	US
Telephone Number	:	702-885-6495
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-2400
Country	:	US
Telephone Number	:	702-455-3692
Fax Number	:

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

Provider Enumeration Date	:	04/20/2023
Last Update Date	:	04/20/2023

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