RONNIE MALALAY BORDADOR (NPI# 1659840270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659840270 |
| Entity Type | Individual |
| Full Name | RONNIE MALALAY BORDADOR |
| Practice Address |
715 Mall Ring Cir Ste 202 Henderson NV 89014-6667 |
| Mailing Address |
7117 Los Banderos Ave Las Vegas NV 89179-1207 |
| Practice Telephone | 7024836200 |
| Practice Fax Number | 7024836202 |
| Mailing Telephone | 7027781458 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 814347 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
814347 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
715 MALL RING CIR STE 202 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289718 | Naomi Satina Cruz-moreno | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-11-08 |
| 1790335131 | Leilani Paz Marcelino | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-09-18 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
| 1851805295 | Elise Noelle Sterritt | Nurse Practitioner | 142 Willow Glen Ct, Henderson, NV 89074-0659 | 2017-11-21 |
| 1346855087 | Emil Almachar | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2020-09-10 |
| 1386289718 | Naomi Satina Cruz-moreno | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-11-08 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1922567619 | Theresa Elizabeth Gordon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-03-13 |
| 1063983682 | Christina Galon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-12-07 |
| 1275003824 | Emeka Madu | Nurse Practitioner | 170 S Green Valley Pkwy Ste 300, Henderson, NV 89012-3145 | 2018-11-27 |
| 1245758341 | Julie Federico Palacios | Nurse Practitioner | 10624 S Eastern Ave, Henderson, NV 89052-2982 | 2017-09-08 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on RONNIE MALALAY BORDADOR.
| 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.