Provider Demographics
NPI:1992195523
Name:DEL PILAR, TEODORA (APRN)
Entity type:Individual
Prefix:
First Name:TEODORA
Middle Name:
Last Name:DEL PILAR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2649 WIGWAM PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7310
Mailing Address - Country:US
Mailing Address - Phone:702-822-1881
Mailing Address - Fax:702-822-1880
Practice Address - Street 1:2649 WIGWAM PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074
Practice Address - Country:US
Practice Address - Phone:702-822-1881
Practice Address - Fax:702-822-1880
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV001587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily