MEDICARE: APRYL VESSIE POLGARINAS HOAGLAND

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	842736	NV

General Provider Information

NPI Number	:	1770373680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRYL VESSIE POLGARINAS HOAGLAND

Provider Business Mailing Address
First Line	:	2080 E FLAMINGO RD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5180
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO RD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5180
Country	:	US
Telephone Number	:	702-657-3873
Fax Number	:	702-636-0787

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

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	11/17/2025

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