Provider Demographics
NPI:1962054726
Name:BALDONADO, NONA SIXTA Q
Entity type:Individual
Prefix:
First Name:NONA SIXTA
Middle Name:Q
Last Name:BALDONADO
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 1:5450 W SAHARA AVE STE 250A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0383
Mailing Address - Country:US
Mailing Address - Phone:702-569-9616
Mailing Address - Fax:
Practice Address - Street 1:5450 W SAHARA AVE STE 250A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-569-9616
Practice Address - Fax:775-727-2085
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant