MARY ANN BENOGSUDAN TIPANERO
NPI 1497504666
Nurse Practitioner - Family in Las Vegas, NV
Active since May 17, 2024
About Mary Ann Benogsudan Tipanero NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ANN BENOGSUDAN TIPANERO (NPI 1497504666) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (878735) and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1497504666
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ANN BENOGSUDAN TIPANERO
Location Address5806 STEINBECK VALLEY STLas Vegas, NV 89113-0794
Mailing Address5806 Steinbeck Valley StLas Vegas, NV 89113-0794 · (701) 818-0655
Phone(701) 818-0655
Sole ProprietorNo
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1497504666 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 · 878735
5806 STEINBECK VALLEY ST, Las Vegas, NV 89113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497504666, enumerated as an "individual" on May 17, 2024.
The provider is located at 5806 STEINBECK VALLEY ST LAS VEGAS, NV 89113 and the phone number is (701) 818-0655.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
