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GLEN MAR ALFONSO EMT, LPN
NPI 1689477234
Licensed Practical Nurse in Las Vegas, NV

Active since March 29, 2025
250 PILOT RD STE 250, LAS VEGAS, NV 89119(702) 982-3292 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen Mar Alfonso Emt, Lpn NPPES

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

GLEN MAR ALFONSO EMT, LPN (NPI 1689477234) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Nevada (886439) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1689477234
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameGLEN MAR ALFONSOCredential: EMT, LPN
Location Address250 PILOT RD STE 250Las Vegas, NV 89119-3514
Mailing Address3624 Bella Legato AveN Las Vegas, NV 89081-4044 · (725) 465-0475
Phone(702) 982-3292
Sole ProprietorNo
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1689477234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NV · 886439
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
250 PILOT RD STE 250, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE CHUN RN
Registered Nurse (Home Health)
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
ESTHER E LEUNG RN
Registered Nurse
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
SANTIANNA ROMERO RISHI RN
Registered Nurse
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
ANGEL COURTNEY ALANA JONES
Licensed Practical Nurse
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
FELICIA CONLEY RN
Registered Nurse (Home Health)
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
ALISSA FULLER SIDEBOTTOM LPN
Licensed Practical Nurse
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
MARIA TERESA AGUILAR LPN
Licensed Practical Nurse
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (702) 982-3292
CRISANDRA SHADLAUS
Registered Nurse (Home Health)
250 PILOT RD STE 250
LAS VEGAS, NV 89119
Clark County (725) 334-3276

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 Glen Mar Alfonso's NPI number?

The NPI number for Glen Mar Alfonso is 1689477234. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Glen Mar Alfonso located?

Glen Mar Alfonso practices at 250 Pilot Rd Ste 250, Las Vegas, NV 89119. The listed phone number is (702) 982-3292.

What is Glen Mar Alfonso's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Glen Mar Alfonso was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.