Provider Demographics
NPI:1558555714
Name:VADOVIC, ROBERT JOSEPH (RN, MSN, ANP-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:VADOVIC
Suffix:
Gender:M
Credentials:RN, MSN, ANP-C
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Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:2055 E CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-8416
Practice Address - Country:US
Practice Address - Phone:702-948-1160
Practice Address - Fax:702-949-6202
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2022-11-04
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00141600363LA2200X
NVAPRN001711363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPENDINGMedicaid
NVPENDINGMedicare PIN