NPI 1174882807 · live from the CMS NPI Registry
Nicholas Anthony Benites, PA-C
Physician Assistant in Las Vegas, NV. National Provider Identifier 1174882807, active.
NPI record
| NPI | 1174882807 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147 |
| Practice phone | 702-628-5333 |
| Mailing address | 9750 W Skye Canyon Park Dr, Ste 160 Box 103, Las Vegas, NV 89166 |
| Enumerated | May 15, 2012 |
| Last updated | October 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA1352 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.