MRS. PETAL M CODRINGTON-MARTIAL


Address: 1501 S Eastern Ave, Las Vegas, NV 89104-3916
Phone: 7027787770

MRS. PETAL M CODRINGTON-MARTIAL (NPI# 1538665427) 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) 1538665427
Entity Type Individual
Full Name MRS. PETAL M CODRINGTON-MARTIAL
Credential APRN
Practice Address 1501 S Eastern Ave
Las Vegas
NV 89104-3916
Mailing Address 5837 Armide St
North Las Vegas
NV 89081-3400
Practice Telephone 7027787770
Mailing Telephone 7029453538
Enumeration Date 2018-04-01
Last Update Date 2018-04-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN002889 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1501 S EASTERN AVE
City LAS VEGAS
State NV
Zip Code 89104-3916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245492966 Rogelio Machuca Family Medicine 1501 S Eastern Ave, Las Vegas, NV 89104-3916 2008-06-25
1235412073 Rogelio Machuca Md Family Medicine Family Medicine 1501 S Eastern Ave, Las Vegas, NV 89104-3916 2011-09-27
1144471384 Cheryl Cay Spollino Nurse Practitioner 1501 S Eastern Ave, Las Vegas, NV 89104-3916 2008-10-07

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NPI Name Taxonomy Address Enumeration
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1982171518 Ian Sande Occupational Therapist 1500 West Warm Springs Rd, Las Vegas, NV 89104 2018-11-01
1215436563 A Better Life In Home Care, LLC Technician 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 2018-02-01
1891202016 Nevada Helping Hands LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 2018-01-09
1760901581 Fannie Bell Counselor 1800 E. Sahara Suite 104, Las Vegas, NV 89104 2017-09-13
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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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Competitor

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City LAS VEGAS
Zip Code 89104

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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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