Provider Demographics
NPI:1679221824
Name:PELLEGRINI, SYLVIA DAWN
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:DAWN
Last Name:PELLEGRINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 W LAKE MEAD BLVD APT 1060
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-3165
Mailing Address - Country:US
Mailing Address - Phone:702-806-8116
Mailing Address - Fax:
Practice Address - Street 1:4456 PROSPECT HILL CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-3294
Practice Address - Country:US
Practice Address - Phone:208-585-8722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care