Provider Demographics
NPI:1023084324
Name:HYLTON, JOANNE M (APN)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:HYLTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15645
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5645
Mailing Address - Country:US
Mailing Address - Phone:702-242-7308
Mailing Address - Fax:702-240-8790
Practice Address - Street 1:2716 N TENAYA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0424
Practice Address - Country:US
Practice Address - Phone:702-240-8934
Practice Address - Fax:702-869-2436
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN598363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2402227Medicaid
NV1023084324OtherMEDICAID/SMA
NVV109444OtherSMA MEDICARE
NV2402227Medicaid
P23132Medicare UPIN