Individual provider · Type 1 NPI

Glen Mar Alfonso, EMT, LPN

Licensed Practical Nurse · Las Vegas, NV

NPI number 1689477234 Active

Practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Call (702) 982-3292 Map

Mailing address

3624 Bella Legato Ave
North Las Vegas, NV 89081-4044

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X886439 (NV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1689477234

Glen Mar Alfonso, EMT, LPN's National Provider Identifier is 1689477234, issued on Mar 29, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 29, 2025.