Provider Demographics
NPI:1922881390
Name:GARRIDO, NAIYU NEREIDA
Entity Type:Individual
Prefix:
First Name:NAIYU
Middle Name:NEREIDA
Last Name:GARRIDO
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 1:1190 N SLOAN LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-6705
Mailing Address - Country:US
Mailing Address - Phone:702-741-3475
Mailing Address - Fax:
Practice Address - Street 1:4829 PLATA DEL SOL DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-6861
Practice Address - Country:US
Practice Address - Phone:702-981-1484
Practice Address - Fax:702-995-0442
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant