OrganizationActive
Loyal Source Government Services LLC
NPI 1558060525 · Adult Health Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1558060525
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rosalina Labadessa, Compliance & Contracts Manager(407) 605-6427
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2800 N Tenaya Way Ste 201
Las Vegas, NV 89128-1100
Phone: (725) 231-0171
Approximate (ZIP-level) locationGet directions
Mailing address
12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.