MEDICARE: ANIA ALIAGA MENDOZA

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	163W00000X	Registered Nurse	884289	NV
2	163WG0000X	General Practice Registered Nurse	884289	NV
3	261QP2300X	Primary Care Clinic/Center	884289	NV
4	163WP0200X	Pediatric Registered Nurse	884289	NV

General Provider Information

NPI Number	:	1841005014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIA ALIAGA MENDOZA

Provider Business Mailing Address
First Line	:	5322 DEL GADO DR APT 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3566
Country	:	US
Telephone Number	:	702-695-4008
Fax Number	:

Provider Business Practice Location Address
First Line	:	5322 DEL GADO DR APT 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3566
Country	:	US
Telephone Number	:	702-695-4008
Fax Number	:

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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Directions to “ ANIA ALIAGA MENDOZA ” Practice Location

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