MRS. JULIA VIVIEN DE JESUS NAVALTA MSN APRN FNP-BC NPI 1871017400

NPI Information

NPI: 1871017400
Provider Name: MRS. JULIA VIVIEN DE JESUS NAVALTA, MSN, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BACCHUS WAKEFIELD KAHAN PC

PECOS Registration: Yes

Address:
6170 N DURANGO DR STE 130
LAS VEGAS, NV
ZIP 89149
Phone: (702) 940-1550
Get Directions

MRS. Julia Vivien De Jesus Navalta, MSN, APRN, FNP-BC is a family nurse practitioner in Las Vegas, NV with 8 years of experience. MRS. Julia Vivien De Jesus Navalta, MSN, APRN, FNP-BC NPI is 1871017400. 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:

6170 N DURANGO DR STE 130
LAS VEGAS, NV
ZIP 89149-923
Phone: (702) 940-1550
Fax: (702) 940-1551

The NPI 1871017400 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 7/26/2017 and was last updated on 2/7/2022.

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	APRN002556	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	APRN002556	OTHER	NEVADA	STATE LICENSE
2	1871017400	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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