Provider Demographics
NPI:1891396651
Name:TALAVERA, ALMA FELINOR FANCO (APRN-C)
Entity Type:Individual
Prefix:
First Name:ALMA FELINOR
Middle Name:FANCO
Last Name:TALAVERA
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N LAMB BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4674
Mailing Address - Country:US
Mailing Address - Phone:702-459-2401
Mailing Address - Fax:702-459-2405
Practice Address - Street 1:1820 E LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-0160
Practice Address - Country:US
Practice Address - Phone:702-916-3537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV834309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily