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NPI Code Detail

MEDICARE: MARIA ROSARIO AREVALO PALOMINO RN

MEDICARE: MARIA ROSARIO AREVALO PALOMINO RN
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
1163W00000XRegistered Nurse891074NV

General Provider Information

NPI Number : 1417884651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ROSARIO AREVALO PALOMINO RN
Provider Business Mailing Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 702-902-7445
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 702-902-7445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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