MEDICARE: DAVID OLIVARES LUVIN

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	840513	NV
2	363LF0000X	Family Nurse Practitioner	840513	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	:	1841954658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID OLIVARES LUVIN

Provider Business Mailing Address
First Line	:	3259 ASTORIA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2347
Country	:	US
Telephone Number	:	602-668-1398
Fax Number	:

Provider Business Practice Location Address
First Line	:	3259 ASTORIA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2347
Country	:	US
Telephone Number	:	602-668-1398
Fax Number	:

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

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	04/02/2024

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