Provider Demographics
NPI:1073397477
Name:LINATOC, ELSA LIM (RN)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:LIM
Last Name:LINATOC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7764 ALOLA SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-3819
Mailing Address - Country:US
Mailing Address - Phone:702-787-4144
Mailing Address - Fax:
Practice Address - Street 1:4055 SPENCER ST STE 217
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5251
Practice Address - Country:US
Practice Address - Phone:702-787-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV821972163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator