Provider Demographics
NPI:1629189881
Name:MIONE, VINCENT G (CRNA; ARNP)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:G
Last Name:MIONE
Suffix:
Gender:M
Credentials:CRNA; ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 W EL CAMPO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-1171
Mailing Address - Country:US
Mailing Address - Phone:702-658-0270
Mailing Address - Fax:
Practice Address - Street 1:700 SHADOW LN
Practice Address - Street 2:STE. 165A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4126
Practice Address - Country:US
Practice Address - Phone:702-382-8101
Practice Address - Fax:702-382-4890
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCRNA000240367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered