BETTY OMANDAC NPI 1235664020

NPI Information

  • NPI: 1235664020
  • Provider Name: BETTY OMANDAC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 2410 FIRE MESA ST
    SUITE 160
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (702) 518-1534

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NPI Details

Betty Omandac is a gerontology nurse practitioner in Las Vegas, NV. Betty Omandac NPI is 1235664020. 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:

2410 FIRE MESA ST
SUITE 160
LAS VEGAS, NV
ZIP 89128-016
Phone: (702) 518-1534

The enumeration date for this NPI number is 4/28/2017 and was last updated on 11/15/2017.

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
1363LG0600XNurse PractitionerGerontologyAPRN 002508NEVADAYes

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: 11/21/2025

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