MESKELO TSEGAYE BOBO NP NPI 1659933075

NPI Information

NPI: 1659933075
Provider Name: MESKELO TSEGAYE BOBO, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2655 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89146
Phone: (720) 460-1501
Get Directions

Meskelo Tsegaye Bobo, NP is an adult health nurse practitioner in Las Vegas, NV with 5 years of experience. Meskelo Tsegaye Bobo, NP NPI is 1659933075. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2655 S RAINBOW BLVD
LAS VEGAS, NV
ZIP 89146-000
Phone: (720) 460-1501
Fax: (778) 769-4717

The NPI 1659933075 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 7/5/2019 and was last updated on 5/31/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	822801	NEVADA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	APN.0994746-NP	COLORADO	No
3	363LG0600X	Nurse Practitioner	Gerontology	APN.0994746-NP	COLORADO	No
4	363LG0600X	Nurse Practitioner	Gerontology	822801	NEVADA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APN.0994746-NP	OTHER	COLORADO	APN

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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