Provider Demographics
NPI:1790003754
Name:BUENAFLOR, YVETTE ALTO (FNP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:ALTO
Last Name:BUENAFLOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 LYDIAN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6765
Mailing Address - Country:US
Mailing Address - Phone:702-485-5179
Mailing Address - Fax:
Practice Address - Street 1:1825 E WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4547
Practice Address - Country:US
Practice Address - Phone:702-361-4873
Practice Address - Fax:702-897-6240
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily