MEDICARE: KAREN ARCENIO BANGAYAN APRN, CNP

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	843493	NV
2	363LF0000X	Family Nurse Practitioner	843493	NV

General Provider Information

NPI Number	:	1417624230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ARCENIO BANGAYAN APRN, CNP

Provider Business Mailing Address
First Line	:	1808 TAOS ESTATES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8259
Country	:	US
Telephone Number	:	702-466-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 TAOS ESTATES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8259
Country	:	US
Telephone Number	:	702-466-3098
Fax Number	:	702-362-1732

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

Provider Enumeration Date	:	08/28/2021
Last Update Date	:	02/11/2026

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