Provider Demographics
NPI:1629505375
Name:ADVANCED CARE OPTIONS LLC
Entity Type:Organization
Organization Name:ADVANCED CARE OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, AGNP-C
Authorized Official - Phone:702-439-1482
Mailing Address - Street 1:508 JIMIJO CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2668
Mailing Address - Country:US
Mailing Address - Phone:702-998-9976
Mailing Address - Fax:702-998-2594
Practice Address - Street 1:508 JIMIJO CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2668
Practice Address - Country:US
Practice Address - Phone:702-998-9976
Practice Address - Fax:702-998-2594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001662363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty