MEDICARE: MAYLENE ROSANES CULANAG APRN-CNP

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	363LP2300X	Primary Care Nurse Practitioner	822751	NV

General Provider Information

NPI Number	:	1821959727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYLENE ROSANES CULANAG APRN-CNP

Provider Business Mailing Address
First Line	:	5216 PADUA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-0402
Country	:	US
Telephone Number	:	725-301-9110
Fax Number	:

Provider Business Practice Location Address
First Line	:	5216 PADUA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-0402
Country	:	US
Telephone Number	:	725-301-9110
Fax Number	:

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

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	12/03/2025

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