Provider Demographics
NPI:1093686875
Name:VEGAS NP LLC
Entity type:Organization
Organization Name:VEGAS NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DENINA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:702-885-2555
Mailing Address - Street 1:3615 EMERALD BEACH CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6805
Mailing Address - Country:US
Mailing Address - Phone:702-885-2555
Mailing Address - Fax:702-333-0286
Practice Address - Street 1:800 N RAINBOW BLVD STE 208
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1193
Practice Address - Country:US
Practice Address - Phone:702-885-2555
Practice Address - Fax:702-333-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty