Jacquelyn Elisalde
Rehabilitation Practitioner
3620 N. Rancho Dr. Suite 113
Las Vegas
, Nevada 89130-9998
Jacquelyn Elisalde
Rehabilitation Practitioner
3620 N. Rancho Dr. Suite 113
Las Vegas
, Nevada 89130-9998
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Jacquelyn Elisalde
- 705 Stormcrest Ln.
- Las Vegas, NV
- Zip : 89107-4369
- Phone :
Second Address
- Jacquelyn Elisalde
- 3620 N. Rancho Dr. Suite 113
- Las Vegas, NV
- Zip : 89130-9998
- Phone : (702) 362-5181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 193450A | NV |
National Provider Identifier
| NPI | 1023367869 |
|---|---|
| Provider Name | Jacquelyn Elisalde |
| First Address | Las Vegas, NV 89107-4369 |
| Second Address | Las Vegas, NV 89130-9998 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2012 |
| Last Update Date | 04/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.