Stanley Kidiavayi, APRN is a family nurse practitioner in Las Vegas, NV with 9 years of experience. Stanley Kidiavayi, APRN NPI is 1902290968. 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:
7391 W CHARLESTON BLVD
SUITE 140
LAS VEGAS, NV
ZIP 89117-577
Phone: (702) 304-2144
Fax: (702) 304-2147
The NPI 1902290968 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 3/26/2015 and was last updated on 9/2/2016.