Lou Brunnel Roldan Tayong, APRN | |
1800 W. Charleston Blvd., Las Vegas, NV 89102 | |
(702) 383-2000 | |
Not Available |
Full Name | Lou Brunnel Roldan Tayong |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1800 W. Charleston Blvd., Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700447687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 811874 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Center Of Southern Nevada | 7315934429 | 249 |
Entity Name | University Medical Center Of Southern Nevada |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20040429001053 |
Entity Name | Optum Medical Group Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063458594 PECOS PAC ID: 1052390036 Enrollment ID: O20040714000813 |
Mailing Address | Practice Location Address |
---|---|
Lou Brunnel Roldan Tayong, APRN 1800 W. Charleston Blvd., Las Vegas, NV 89102 Ph: (702) 383-2000 | Lou Brunnel Roldan Tayong, APRN 1800 W. Charleston Blvd., Las Vegas, NV 89102 Ph: (702) 383-2000 |
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