MALIA RUSSO


Address: 8918 Mossy Hollow Ave, Las Vegas, NV 89149-2961
Phone: 7025011848

MALIA RUSSO (NPI# 1417446402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417446402
Entity Type Individual
Full Name MALIA RUSSO
Practice Address 8918 Mossy Hollow Ave
Las Vegas
NV 89149-2961
Practice Telephone 7025011848
Mailing Telephone 7025011848
Enumeration Date 2018-05-04
Last Update Date 2018-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 8918 MOSSY HOLLOW AVE
City LAS VEGAS
State NV
Zip Code 89149-2961

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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906440 David Hernandez Student in an Organized Health Care Education/Training Program 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 2020-09-10
1710591110 Jessica Celestino Student in an Organized Health Care Education/Training Program 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 2020-09-02
1972127314 Toyokazu Endo Student in an Organized Health Care Education/Training Program 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 2020-06-01
1962025775 William Taylor Gravley Student in an Organized Health Care Education/Training Program 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 2020-05-27
1477174449 Vishnu Halthore Student in an Organized Health Care Education/Training Program 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 2020-05-01
1417576869 Jesus Mendez Jr. Student in an Organized Health Care Education/Training Program 10962 Pentland Downs St, Las Vegas, NV 89141-3997 2020-04-15
1124657333 Daniel Gerardo Arias Student in an Organized Health Care Education/Training Program 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 2020-04-08
1659900959 Connor Wayman Student in an Organized Health Care Education/Training Program 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 2020-04-07
1700413887 Sameera Baig Student in an Organized Health Care Education/Training Program 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 2020-03-26
1457988537 Wesley Washington Yim Student in an Organized Health Care Education/Training Program 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 2020-03-26
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Competitor

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City LAS VEGAS
Zip Code 89149

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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.

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