Basic Information
| Provider Information | |||||||||
| NPI: | 1316345788 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MANLANGIT | ||||||||
| FirstName: | ALMA | ||||||||
| MiddleName: | BAUTISTA | ||||||||
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| Credential: | R.N , APRN FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 604 SILVER GROVE ST | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891444113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026867360 | ||||||||
| FaxNumber: | 7024864608 | ||||||||
| Practice Location | |||||||||
| Address1: | 6161 W CHARLESTON BLVD | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891461126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024864000 | ||||||||
| FaxNumber: | 7024860417 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2014 | ||||||||
| LastUpdateDate: | 05/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | RN46937 | NV | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 363LF0000X | 826007 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.