Individual provider · Type 1 NPI

Raphael Vivar

Registered Nurse · Las Vegas, NV

NPI number 1407712607 Active

Practice location

4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854

Fax (702) 463-0301

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	881737 (NV)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1407712607

Raphael Vivar's National Provider Identifier is 1407712607, issued on Dec 31, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 31, 2025.