MEDICARE: MILROSE SUPAN NACPIL MS OT

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	225X00000X	Occupational Therapist	09-0174	NV

General Provider Information

NPI Number	:	1669615696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILROSE SUPAN NACPIL MS OT

Provider Business Mailing Address
First Line	:	6302 AZTEC CROSSING CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-7922
Country	:	US
Telephone Number	:	702-324-3915
Fax Number	:	702-982-8105

Provider Business Practice Location Address
First Line	:	6302 AZTEC CROSSING CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-7922
Country	:	US
Telephone Number	:	702-324-3915
Fax Number	:	702-982-8105

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

Provider Enumeration Date	:	04/06/2009
Last Update Date	:	10/25/2011

Similar Medicare Providers

1629377304 — CHRIS PALMEIRA
Practice Location Address:

7922 VALLADOLID AVE
LAS VEGAS, NV
89178-3815

Practice Phone: 702-544-5687
Practice Fax:

1144511759 — MRS. ANA LOUISA BRACAMONTE MFTI
Practice Location Address:

3921 HAMPTON GROVE CT
LAS VEGAS, NV
89129-7922

Practice Phone: 702-466-4448
Practice Fax:

1851728364 — ERYCK NICKO BRACAMONTE
Practice Location Address:

3921 HAMPTON GROVE CT
LAS VEGAS, NV
89129-7922

Practice Phone: 702-466-3238
Practice Fax:

1447056973 — TENDER TOUCH HEALTH SOLUTIONS, LLC
Practice Location Address:

10115 JEFFREYS ST APT 2151
LAS VEGAS, NV
89183-7922

Practice Phone: 770-733-3399
Practice Fax:

1558297671 — LYANA RIVERO
Practice Location Address:

2214 METALWOOD CT
LAS VEGAS, NV
89142-1614

Practice Phone: 702-758-6172
Practice Fax:

1578495016 — RONALD ANDRE GLADSTONE RN
Practice Location Address:

2807 LINDSEY SPRINGS ST
LAS VEGAS, NV
89142-1870

Practice Phone: 702-810-6780
Practice Fax:

Directions to “ MILROSE SUPAN NACPIL MS OT” 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.