Provider Demographics
NPI:1013556497
Name:PADRON-ORAMAS, ODELAYSIS (FNP)
Entity Type:Individual
Prefix:
First Name:ODELAYSIS
Middle Name:
Last Name:PADRON-ORAMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5369 W BRAEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2060
Mailing Address - Country:US
Mailing Address - Phone:702-626-9069
Mailing Address - Fax:
Practice Address - Street 1:600 W SUNSET RD STE 102
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-4112
Practice Address - Country:US
Practice Address - Phone:725-241-5252
Practice Address - Fax:725-231-7474
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836143363LF0000X, 363LF0000X
372600000X, 3747A0650X, 3747P1801X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult Companion
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker