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R DOMINIC NARDELL MD PC NPI 1033243076


NPI Information

NPI: 1033243076
Provider Name: R DOMINIC NARDELL MD PC

Doing Business As: NARDELL FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3150 N TENAYA WAY STE 370
LAS VEGAS, NV
ZIP 89128
Phone: (702) 558-2111
Get Directions

R DOMINIC NARDELL MD PC is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R DOMINIC NARDELL MD PC NPI is 1033243076. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nardell Family Medicine.

The provider's business location address is:

3150 N TENAYA WAY STE 370
LAS VEGAS, NV
ZIP 89128-485
Phone: (702) 558-2111
Fax: (702) 558-8333

The provider's authorized official is Ronald Dominic Nardell .
The authorized official title is President and has the following contact phone number (702) 558-2111.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2363AM0700XPhysician AssistantMedicalNo
3207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V103692MEDICARE PINNEVADA

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: 4/28/2024

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