Provider Demographics
NPI:1497902639
Name:BERNARDO, HORACIO JOSE (APRN)
Entity Type:Individual
Prefix:MR
First Name:HORACIO
Middle Name:JOSE
Last Name:BERNARDO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 81345
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-1345
Mailing Address - Country:US
Mailing Address - Phone:702-384-5101
Mailing Address - Fax:702-382-5675
Practice Address - Street 1:2000 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4113
Practice Address - Country:US
Practice Address - Phone:702-384-5101
Practice Address - Fax:702-387-0104
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN001238363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care