Provider Demographics
NPI:1528203643
Name:NAVARRO, ALEJANDRO SABUGO (APRN-FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:SABUGO
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:APRN-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE.190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149
Mailing Address - Country:US
Mailing Address - Phone:702-383-6270
Mailing Address - Fax:702-395-3023
Practice Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE.190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-383-6270
Practice Address - Fax:702-395-3023
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN44618163W00000X
NVAPN#001061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse