MEDICARE: MYLENE AGREDA

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	363LF0000X	Family Nurse Practitioner	840958	NV

General Provider Information

NPI Number	:	1568031235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYLENE AGREDA

Provider Business Mailing Address
First Line	:	8042 FOXFIELD SPRINGS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-1236
Country	:	US
Telephone Number	:	702-883-6821
Fax Number	:

Provider Business Practice Location Address
First Line	:	1081 S CIMARRON RD STE B5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-2454
Country	:	US
Telephone Number	:	702-883-6821
Fax Number	:

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

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	04/09/2025

Similar Medicare Providers

1962467845 — FAROOQ MUNIR SHAIKH M.D.
Practice Location Address:

1081 S CIMARRON RD STE B5
LAS VEGAS, NV
89145-2454

Practice Phone: 702-749-8885
Practice Fax: 702-749-6393

1013169168 — M&T MSDL
Practice Location Address:

1081 S CIMARRON RD STE B5
LAS VEGAS, NV
89145-2454

Practice Phone: 702-749-8885
Practice Fax: 702-749-6393

1265266761 — JEREMY LOJA
Practice Location Address:

1081 S CIMARRON RD STE B5
LAS VEGAS, NV
89145-2454

Practice Phone: 702-749-8885
Practice Fax: 702-749-6393

1639066111 — AUSTIN WILLIAM ACOR DC
Practice Location Address:

1081 S CIMARRON RD STE B3
LAS VEGAS, NV
89145-2454

Practice Phone: 702-903-5177
Practice Fax:

1356357065 — STANLEY YASHIO KAMIMOTO MPT
Practice Location Address:

3820 S JONES BLVD
LAS VEGAS, NV
89103-2454

Practice Phone: 702-731-0831
Practice Fax: 702-737-9697

1326256850 — D KEITH KLEVEN LTD
Practice Location Address:

3820 S JONES BLVD
LAS VEGAS, NV
89103-2454

Practice Phone: 702-731-0831
Practice Fax: 702-737-9697

Directions to “ MYLENE AGREDA ” 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.