MEDICARE: ILIR MANAJ NP

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	363LF0000X	Family Nurse Practitioner	APRN002467	NV

General Provider Information

NPI Number	:	1366983132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILIR MANAJ NP

Provider Business Mailing Address
First Line	:	6330 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3302
Country	:	US
Telephone Number	:	702-880-7002
Fax Number	:	702-880-9444

Provider Business Practice Location Address
First Line	:	6330 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3302
Country	:	US
Telephone Number	:	702-461-2628
Fax Number	:	702-880-9444

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

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	06/05/2025

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Directions to “ ILIR MANAJ NP” Practice Location

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