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ROSELLE SUDARIO APRN, NP-C
NPI 1376095299
Nurse Practitioner - Family in N. Las Vegas, NV

Active since October 26, 2016
4040 N. MARTIN LUTHER KING BLVD, STE A, N. LAS VEGAS, NV 89032(702) 644-4673 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 7, 2017, Nov 5, 2017 and 1 more (4 updates tracked since 2016).

About Roselle Sudario Aprn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSELLE SUDARIO APRN, NP-C (NPI 1376095299) is an individual family provider in N. Las Vegas, Nevada, licensed in Nevada (APRN002357) and active in the NPI registry since October 2016. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1376095299
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSELLE SUDARIOCredential: APRN, NP-C
Location Address4040 N. MARTIN LUTHER KING BLVD, STE AN. Las Vegas, NV 89032
Mailing Address4040 N Martin L King Blvd Ste AN Las Vegas, NV 89032-3205 · (702) 644-4073 · Fax (702) 902-5443
Phone(702) 644-4673
Sole ProprietorYes
Enumeration DateOctober 26, 2016
Last NPPES UpdateMarch 25, 20194 updates tracked since enumeration
✔ NPI 1376095299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · APRN002357
4040 N. MARTIN LUTHER KING BLVD, N. Las Vegas, NV 89032
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Secondary Practice Location 1

Location 19417 Melva Blue CtLas Vegas, NV 89166 · Phone (702) 768-7181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roselle Sudario's NPI number?

The NPI number for Roselle Sudario is 1376095299. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Roselle Sudario located?

Roselle Sudario practices at 4040 N. Martin Luther King Blvd Ste A, N. Las Vegas, NV 89032. The listed phone number is (702) 644-4673.

What is Roselle Sudario's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Roselle Sudario was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.