Mr. Julio Arvie Mata Madarazo Jr.
Nurse Practitioner (Family)

Address: 6284 Canvasback Ave, Las Vegas, NV 89122-3545
Phone: 4083004540

Mr. Julio Arvie Mata Madarazo Jr. (NPI# 1144828849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1144828849
Entity Type Individual
Full Name Mr. Julio Arvie Mata Madarazo Jr.
Credential MSN, APRN-CNP, FNP-C
Gender Male
Practice Address 6284 Canvasback Ave
Las Vegas
NV 89122-3545
Practice Telephone 4083004540
Mailing Address 6284 Canvasback Ave
Las Vegas
NV 89122-3545
Mailing Telephone 4083004540
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-10-14
Last Update Date 2020-10-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 810265 NV

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 6284 CANVASBACK AVE
City LAS VEGAS
State NV
Zip Code 89122-3545

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902425523 Dezirae Wilson Technician 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 2020-04-14
1407312366 More Than Words LLC Speech-Language Pathologist 3430 Blue Ash Lane, Las Vegas, NV 89122 2019-02-15
1588130751 Leslie Totress Case Manager/Care Coordinator 6368 Foxlyn Ave, Las Vegas, NV 89122 2018-10-15
1780100511 Easy Living Behavioral Health LLC Community Based Residential Treatment Facility, Mental Illness 5069 Sun Valley Dr, Las Vegas, NV 89122 2017-08-14
1508381435 Louie Taquiqui Community/Behavioral Health 3566 Tundra Swan St, Las Vegas, NE 89122 2017-08-11
1972032233 Marilan Sanchez Rehabilitation Practitioner 5210 Emelita St, Las Vegas, NV 89122 2017-06-08
1023479599 Tia Collins Social Worker 5412 Boulder Highway, Las Vegas, NV 89122 2016-03-11
1548673056 Saba Chatoor Counselor 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 2014-06-03
1811328685 Derrell Williams Counselor 3326 Wasatch Cedars St., Las Vegas, NV 89122 2013-12-04
1225466709 The Lighthouse LLC Community/Behavioral Health 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 2013-10-22
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Competitor

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City LAS VEGAS
Zip Code 89122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.