MARK MAXILOM POLINTAN APRN FNP-C NPI 1306509971

NPI Information

NPI: 1306509971
Provider Name: MARK MAXILOM POLINTAN, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5915 S RAINBOW BLVD STE 100
LAS VEGAS, NV
ZIP 89118
Phone: (702) 666-8808
Get Directions

Mark Maxilom Polintan, APRN, FNP-C is a family nurse practitioner in Las Vegas, NV with 3 years of experience. 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:

5915 S RAINBOW BLVD STE 100
LAS VEGAS, NV
ZIP 89118-558
Phone: (702) 666-8808

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 10/31/2023.

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	1099927	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	SP024314	PENNSYLVANIA	No
3	363LF0000X	Nurse Practitioner	Family	26NJ01261800	NEW JERSEY	No
4	363LF0000X	Nurse Practitioner	Family	349083	NEW YORK	No
5	363LF0000X	Nurse Practitioner	Family	860179	NEVADA	Yes

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

NPI Synchronization or Removal

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