Provider Demographics
NPI:1871095471
Name:NAIN PROFESSIONAL, HOUSE CALL LLC
Entity type:Organization
Organization Name:NAIN PROFESSIONAL, HOUSE CALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA ANGELA NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-335-8104
Mailing Address - Street 1:3310 S JONES BLVD STE R
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6708
Mailing Address - Country:US
Mailing Address - Phone:702-335-8104
Mailing Address - Fax:
Practice Address - Street 1:3310 S JONES BLVD STE R
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6708
Practice Address - Country:US
Practice Address - Phone:702-335-8104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty