Provider Demographics
NPI:1699033092
Name:NAVARRO, DANIEL JOSE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSE
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 S RAINBOW BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1878
Mailing Address - Country:US
Mailing Address - Phone:702-463-4040
Mailing Address - Fax:702-968-5683
Practice Address - Street 1:5380 S RAINBOW BLVD STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1878
Practice Address - Country:US
Practice Address - Phone:702-463-4040
Practice Address - Fax:702-968-5683
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001252363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1699033092Medicaid
NV1699033092Medicaid