MR. CARL ANTHONY PLAZA FNP-C NPI 1790242543

NPI Information

NPI: 1790242543
Provider Name: MR. CARL ANTHONY PLAZA, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC

PECOS Registration: Yes

Address:
3835 S JONES BLVD STE 104
LAS VEGAS, NV
ZIP 89103
Phone: (702) 880-4193
Get Directions

MR. Carl Anthony Plaza, FNP-C is a family nurse practitioner in Las Vegas, NV with 6 years of experience. MR. Carl Anthony Plaza, FNP-C NPI is 1790242543. 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:

3835 S JONES BLVD STE 104
LAS VEGAS, NV
ZIP 89103-283
Phone: (702) 880-4193
Fax: (702) 227-0523

The NPI 1790242543 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 2/28/2019 and was last updated on 11/16/2020.

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	363LF0000X	Nurse Practitioner	Family	816592	NEVADA	Yes

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	V60791	MEDICAID	NEVADA

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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