MARK MAXILOM POLINTAN APRN FNP-C NPI 1306509971

NPI Information

  • NPI: 1306509971
  • Provider Name: MARK MAXILOM POLINTAN, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 732 S 6TH ST # 8014
    LAS VEGAS, NV
    ZIP 89101
  • Phone: (725) 772-1939

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NPI Details

Mark Maxilom Polintan, APRN, FNP-C is a family nurse practitioner in Las Vegas, NV. Mark Maxilom Polintan, APRN, FNP-C NPI is 1306509971. 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:

732 S 6TH ST # 8014
LAS VEGAS, NV
ZIP 89101-948
Phone: (725) 772-1939

The NPI 1306509971 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 10/20/2021 and was last updated on 10/29/2025.

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
1363LF0000XNurse PractitionerFamily349083NEW YORKNo
2363LF0000XNurse PractitionerFamily86375NEW MEXICONo
3363LF0000XNurse PractitionerFamily1099927TEXASNo
4363LF0000XNurse PractitionerFamily5571183IDAHONo
5363LF0000XNurse PractitionerFamily26NJ01261800NEW JERSEYNo
6363LF0000XNurse PractitionerFamilyTPAN3116FLORIDANo
7363LF0000XNurse PractitionerFamily95025693CALIFORNIANo
8363LF0000XNurse PractitionerFamily14244166-4405UTAHNo
9363LF0000XNurse PractitionerFamilySP024314PENNSYLVANIANo
10363LF0000XNurse PractitionerFamily860179NEVADAYes
11363LF0000XNurse PractitionerFamily12488MINNESOTANo
12363LF0000XNurse PractitionerFamily319429ARIZONANo

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

NPI Synchronization or Removal

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