John Marius Agravio Tolentino
Nurse Practitioner (Family)

Address: 3557 Winter Wren St, Las Vegas, NV 89122-3539
Phone: 7024454092

John Marius Agravio Tolentino (NPI# 1851990840) 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) 1851990840
Entity Type Individual
Full Name John Marius Agravio Tolentino
Credential APRN, FNP-C
Gender Male
Practice Address 3557 Winter Wren St
Las Vegas
NV 89122-3539
Practice Telephone 7024454092
Mailing Address 3557 Winter Wren St
Las Vegas
NV 89122-3539
Mailing Telephone 7024454092
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-21
Last Update Date 2020-10-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 835286 NV

Taxonomy Information

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

Taxonomy Definition

Definition to come…

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Office Location

Street Address 3557 WINTER WREN ST
City LAS VEGAS
State NV
Zip Code 89122-3539

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.