Provider Demographics
NPI:1578366258
Name:PENALVER, YAILENE ARMAS
Entity type:Individual
Prefix:
First Name:YAILENE
Middle Name:ARMAS
Last Name:PENALVER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 JANSEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-1403
Mailing Address - Country:US
Mailing Address - Phone:702-910-8329
Mailing Address - Fax:
Practice Address - Street 1:2610 S JONES BLVD # D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5663
Practice Address - Country:US
Practice Address - Phone:725-599-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant