Provider Demographics
NPI:1033302328
Name:BENLIRO, IRENE MOSQUEDA (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:MOSQUEDA
Last Name:BENLIRO
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 S EASTERN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6200
Mailing Address - Country:US
Mailing Address - Phone:702-534-4244
Mailing Address - Fax:725-605-6792
Practice Address - Street 1:11201 S EASTERN AVE STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-6200
Practice Address - Country:US
Practice Address - Phone:702-534-4244
Practice Address - Fax:725-605-6792
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN44413163W00000X
NVAPN700372163WG0000X
NVAPRN001014363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice