Teano, Victoria Balledos
Teano, Victoria Balledos is an sole proprietor health care provider with primary practice located at 4880 Wynn Rd , Las Vegas NV 89103-5406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Teano, Victoria Balledos can be contacted via phone (702) 871-5005.Contact Information
Primary practice address
4880 Wynn Rd
Las Vegas NV 89103-5406
Phone: (702) 871-5005
Fax: (702) 871-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 861091 | Nevada |
Profile Details
| NPI number | 1689360729 |
|---|---|
| LBN Legal business name | Teano, Victoria Balledos |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2023 |
| Last updated | Jul 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689360729 | NPPES |
| Nevada | Other | 861091 | STATE LICENSE |
| Nevada | MEDICAID | 1689360729 | STATE LICENSE |
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