MEDICARE: ANDREA TRUJILLO I

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	103TA0700X	Adult Development & Aging Psychologist	20131063992	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801211891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA TRUJILLO I

Provider Business Mailing Address
First Line	:	3020 E BONANZA RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-3702
Country	:	US
Telephone Number	:	702-771-9128
Fax Number	:	702-982-3069

Provider Business Practice Location Address
First Line	:	3020 E BONANZA SUITE 160-A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101
Country	:	US
Telephone Number	:	702-771-9128
Fax Number	:	702-982-3069

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

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	02/27/2014

Similar Medicare Providers

1437082450 — DESIREE RICHARDS
Practice Location Address:

400 S 4TH ST STE 500
LAS VEGAS, NV
89101-6207

Practice Phone: 702-765-0983
Practice Fax:

1174457022 — HOPE CAWTHORNE
Practice Location Address:

400 S 4TH ST STE 500
LAS VEGAS, NV
89101-6207

Practice Phone: 702-765-0983
Practice Fax:

1083548937 — AMANDA TRUJILLO MAGEE
Practice Location Address:

400 S 4TH ST STE 500
LAS VEGAS, NV
89101-6207

Practice Phone: 702-357-8317
Practice Fax: 702-357-8317

1982538831 — LINDA LEE ANNERINO
Practice Location Address:

400 S 4TH ST STE 500
LAS VEGAS, NV
89101-6207

Practice Phone: 702-703-6386
Practice Fax: 702-703-6386

1982538799 — TYANN TURNER
Practice Location Address:

400 S 4TH ST STE 400
LAS VEGAS, NV
89101-6206

Practice Phone: 702-357-8317
Practice Fax: 702-357-8317

1770103350 — AMY SALVADO MISOP
Practice Location Address:

205 N 18TH ST APT B
LAS VEGAS, NV
89101-4484

Practice Phone: 209-641-8621
Practice Fax:

1144154535 — GERALDINE CABUSAW
Practice Location Address:

400 S 4TH ST STE 500
LAS VEGAS, NV
89101-6207

Practice Phone: 702-357-8317
Practice Fax: 702-357-8317

Directions to “ ANDREA TRUJILLO I ” 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.