IndividualActive
Luis Rodriguez, AGACNP-BC
NPI 1689216434 · Gerontology Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1689216434
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 825391 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Phone: (702) 479-4850
Fax: (702) 966-8699
Approximate (ZIP-level) locationGet directions
Mailing address
6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Additional practice locations (2)
- 1000 S Rainbow BlvdLas Vegas, NV 89145-6231Phone: (702) 259-0088Fax: (702) 259-9533
- 2400 W Charleston BlvdLas Vegas, NV 89102-2155Phone: (702) 320-7930
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.