Provider Demographics
NPI:1699515650
Name:LUNA, ARMANDO (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:LUNA
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 BUTTONS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2321
Mailing Address - Country:US
Mailing Address - Phone:702-528-5928
Mailing Address - Fax:
Practice Address - Street 1:5550 PAINTED MIRAGE RD STE 380
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4727
Practice Address - Country:US
Practice Address - Phone:702-725-2631
Practice Address - Fax:702-576-0583
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV877928363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty