MR. MARIO OLIVER TABLANTE GODOY APRN NP-C NPI 1275822611

NPI Information

NPI: 1275822611
Provider Name: MR. MARIO OLIVER TABLANTE GODOY, APRN NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DOYNE MEDICAL CLINIC INC

PECOS Registration: Yes

Address:
1706 W BONANZA RD
LAS VEGAS, NV
ZIP 89106
Phone: (702) 631-6860
Get Directions

MR. Mario Oliver Tablante Godoy, APRN NP-C is a family nurse practitioner in Las Vegas, NV with 29 years of experience. MR. Mario Oliver Tablante Godoy, APRN NP-C NPI is 1275822611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1706 W BONANZA RD
LAS VEGAS, NV
ZIP 89106-704
Phone: (702) 631-6860
Fax: (702) 631-6864

The NPI 1275822611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 9/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		APN001258	NEVADA	No
2	163W00000X	Registered Nurse		RN67477	NEVADA	No
3	363LF0000X	Nurse Practitioner	Family	APRN001258	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »