MEDICARE: MS. EVITA DAGYTE FNP-C

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	827306	NV

General Provider Information

NPI Number	:	1396550364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVITA DAGYTE FNP-C

Provider Business Mailing Address
First Line	:	5741 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5622
Country	:	US
Telephone Number	:	702-798-0111
Fax Number	:	866-333-0436

Provider Business Practice Location Address
First Line	:	5741 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5622
Country	:	US
Telephone Number	:	702-798-0111
Fax Number	:	866-333-0436

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

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	05/15/2026

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