Provider Demographics
NPI:1063195675
Name:DEL ROSARIO, JOYCE BALINGIT (FNP-C)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:BALINGIT
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:2825 SIENA HEIGHTS DR STE 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3976
Practice Address - Country:US
Practice Address - Phone:702-616-7049
Practice Address - Fax:702-952-1234
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV821489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1063195675Medicaid
NV821489OtherSTATE LICENSE