Provider Demographics
NPI:1699548339
Name:FILIBERTO, ELENA MARIA
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:MARIA
Last Name:FILIBERTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 SIERRA VISTA DR APT 401
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2744
Mailing Address - Country:US
Mailing Address - Phone:702-413-6011
Mailing Address - Fax:
Practice Address - Street 1:455 SIERRA VISTA DR APT 401
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2744
Practice Address - Country:US
Practice Address - Phone:702-413-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant