| Ares Advance Practice Llc | |
|
10729 Sapphire Vista Ave Las Vegas NV 89144-4139 | |
| (702) 890-8147 | |
| (702) 659-8910 |
| Full Name | Ares Advance Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10729 Sapphire Vista Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Kenneth R Ares (OWNER) |
| Authorized Official Contact | 7028908147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ares Advance Practice Llc 8430 W Lake Mead Blvd Ste 100 Las Vegas NV 89128-7674 Ph: (702) 890-8147 | Ares Advance Practice Llc 10729 Sapphire Vista Ave Las Vegas NV 89144-4139 Ph: (702) 890-8147 |
| NPI Number | 1649867250 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Medicare PECOS PAC ID | 5395159107 |
|---|---|
| Medicare Enrollment ID | O20210205000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649867250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shawnna Maria Fitzwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962715946 PECOS PAC ID: 4385947720 Enrollment ID: I20171130001320 |
| Provider Name | Jeffery James Olsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518301977 PECOS PAC ID: 2264743897 Enrollment ID: I20180129001204 |
| Provider Name | Kenneth R Ares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372088 PECOS PAC ID: 5092125252 Enrollment ID: I20201029002645 |
| Provider Name | Natalie Berkeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841895281 PECOS PAC ID: 6507272689 Enrollment ID: I20210316000730 |
| Provider Name | Truong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821663428 PECOS PAC ID: 6709281785 Enrollment ID: I20210830002153 |
| Provider Name | Andres E Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790441855 PECOS PAC ID: 2163812256 Enrollment ID: I20211203001446 |
| Provider Name | Jayson Lintag Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023776309 PECOS PAC ID: 4789070277 Enrollment ID: I20220411000267 |
| Provider Name | Milagros Micaela S Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295453835 PECOS PAC ID: 8921477084 Enrollment ID: I20221212002045 |
| Provider Name | James Anthony Lentini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750099099 PECOS PAC ID: 7810361797 Enrollment ID: I20230315002009 |
| Provider Name | Charina Tan Dy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124730858 PECOS PAC ID: 8921473539 Enrollment ID: I20230413001313 |
| Provider Name | Janis N Bitor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093411548 PECOS PAC ID: 7911363064 Enrollment ID: I20230516003300 |
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