LOYAL SOURCE GOVERNMENT SERVICES LLC NPI 1558060525

NPI Information

NPI: 1558060525
Provider Name: LOYAL SOURCE GOVERNMENT SERVICES LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
2800 N TENAYA WAY STE 201
LAS VEGAS, NV
ZIP 89128
Phone: (725) 231-0171
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LOYAL SOURCE GOVERNMENT SERVICES LLC is an adult health nurse practitioner in Las Vegas, NV. LOYAL SOURCE GOVERNMENT SERVICES LLC NPI is 1558060525. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 N TENAYA WAY STE 201
LAS VEGAS, NV
ZIP 89128-100
Phone: (725) 231-0171

The provider's authorized official is Rosalina Lucia Labadessa .
The authorized official title is Compliance & Contracts Manager and has the following contact phone number (407) 605-6427.

The enumeration date for this NPI number is 2/28/2023 and was last updated on 2/28/2023.

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	363LA2200X	Nurse Practitioner	Adult Health			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: 5/5/2024

NPI Synchronization or Removal

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