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NPI Code Detail

MEDICARE: ELENA MARIE LLANES RN

MEDICARE:   ELENA MARIE  LLANES  RN
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
1163W00000XRegistered Nurse886142NV

General Provider Information

NPI Number : 1881570562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MARIE LLANES RN
Provider Business Mailing Address
First Line : 2121 JESSE SCOTT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 226
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0938
Country : US
Telephone Number : 725-200-0906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2025
Last Update Date : 08/15/2025

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