MEDICARE: TEODORO AGTAY APN

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	APRN001770	NV

General Provider Information

NPI Number	:	1407263106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEODORO AGTAY APN

Provider Business Mailing Address
First Line	:	7730 W CHEYENNE AVE STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8412
Country	:	US
Telephone Number	:	725-221-1568
Fax Number	:	725-333-9218

Provider Business Practice Location Address
First Line	:	7730 W CHEYENNE AVE STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8412
Country	:	US
Telephone Number	:	725-221-1568
Fax Number	:	725-333-9218

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

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	05/19/2022

Similar Medicare Providers

1952093692 — KELLI NISSEN
Practice Location Address:

7730 W CHEYENNE AVE STE 107
LAS VEGAS, NV
89129-8412

Practice Phone: 725-333-9218
Practice Fax: 833-485-4980

1225166754 — GILBERTO SUAREZ JR., D.D.S., P.C.
Practice Location Address:

7730 W CHEYENNE AVE STE 108
LAS VEGAS, NV
89129-8412

Practice Phone: 702-656-9977
Practice Fax: 702-656-9108

1720297799 — DR. TOYA VENETTA MALONE M.D.
Practice Location Address:

7730 W CHEYENNE AVE STE 107
LAS VEGAS, NV
89129-8412

Practice Phone: 725-221-1568
Practice Fax: 725-333-9218

1184865289 — AYMARA VALLADARES LMHC
Practice Location Address:

7730 W CHEYENNE AVE STE 114
LAS VEGAS, NV
89129-8412

Practice Phone: 702-487-3242
Practice Fax: 702-508-4101

1821482423 — WEBBERSON DENTAL LLC
Practice Location Address:

7730 W CHEYENNE AVE STE 108
LAS VEGAS, NV
89129-8412

Practice Phone: 702-658-8008
Practice Fax: 702-778-2962

1811370414 — CHRISTOPHER JAMES MARTINEZ DMD
Practice Location Address:

7730 W CHEYENNE AVE STE 108
LAS VEGAS, NV
89129-8412

Practice Phone: 702-658-8008
Practice Fax:

Directions to “ TEODORO AGTAY APN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.