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NPI Code Detail

MEDICARE: ESTEPHANIE ALEXANDRA PADILLA PA

MEDICARE:   ESTEPHANIE ALEXANDRA PADILLA  PA
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
1363A00000XPhysician AssistantPA3458NV

General Provider Information

NPI Number : 1750220638
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTEPHANIE ALEXANDRA PADILLA PA
Provider Business Mailing Address
First Line : PO BOX 450709
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-0614
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 1950 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4017
Country : US
Telephone Number : 702-438-2229
Fax Number : 702-605-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 06/08/2026

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Directions to “ ESTEPHANIE ALEXANDRA PADILLA PA” Practice Location

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