ANTONETTE VERGARA APRN NPI 1376083394

NPI Information

NPI: 1376083394
Provider Name: ANTONETTE VERGARA, APRN
Classification: Registered Nurse - 163WP0000X
Entity Type: Individual

Specialization: Pain Management

Organization: COPPEL MEDICAL ENTERPRISE LLC

PECOS Registration: Yes

Address:
1569 E FLAMINGO RD
LAS VEGAS, NV
ZIP 89119
Phone: (702) 476-9999
Get Directions

Antonette Vergara, APRN is a pain management registered nurse in Las Vegas, NV with 8 years of experience. Antonette Vergara, APRN NPI is 1376083394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1569 E FLAMINGO RD
LAS VEGAS, NV
ZIP 89119-321
Phone: (702) 476-9999
Fax: (702) 946-1343

The NPI 1376083394 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 2/24/2017 and was last updated on 8/5/2019.

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	363L00000X	Nurse Practitioner		APRN002468	NEVADA	No
2	163WP0000X	Registered Nurse	Pain Management	APRN002468	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

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