MEDICARE: LUCELIA PUENTE NOA

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	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1405705728	OTHER	NV	DL

General Provider Information

NPI Number	:	1407332513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCELIA PUENTE NOA

Provider Business Mailing Address
First Line	:	3529 BOOTH ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3424
Country	:	US
Telephone Number	:	702-444-9756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3529 BOOTH ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3424
Country	:	US
Telephone Number	:	702-444-9756
Fax Number	:

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

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	07/12/2018

Similar Medicare Providers

1336615582 — JORGE CARLOS PEREZ INFANTE
Practice Location Address:

3529 BOOTH ST
NORTH LAS VEGAS, NV
89032-3424

Practice Phone: 702-715-5635
Practice Fax:

1578663910 — WARM SPRINGS ROAD CVS, L.L.C.
Practice Location Address:

4755 W ANN RD
NORTH LAS VEGAS, NV
89031-3424

Practice Phone: 702-396-2857
Practice Fax:

1386837482 — MRS. MARINA GORBACHINSKY ANP
Practice Location Address:

4755 W ANN RD , SUITE 400
NORTH LAS VEGAS, NV
89031-3424

Practice Phone: 720-645-0332
Practice Fax:

1578892592 — SARAH RHEA APRN
Practice Location Address:

4755 W ANN RD , 00
NORTH LAS VEGAS, NV
89031-3424

Practice Phone: 702-645-0332
Practice Fax: 702-396-8514

1508159989 — MR. GERALD DEAN JONES PA-C
Practice Location Address:

4755 W ANN RD
NORTH LAS VEGAS, NV
89031-3424

Practice Phone: 702-396-2857
Practice Fax:

1508236126 — ANASTASIA PETERSEN BSN, RN
Practice Location Address:

8600 STARBOARD DR APT 1176
LAS VEGAS, NV
89117-3424

Practice Phone: 650-946-7582
Practice Fax:

Directions to “ LUCELIA PUENTE NOA ” 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.