Provider Demographics
NPI:1477389823
Name:ATADERO, AYRHA (RN)
Entity type:Individual
Prefix:
First Name:AYRHA
Middle Name:
Last Name:ATADERO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5781 CANYATA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6556
Mailing Address - Country:US
Mailing Address - Phone:702-601-5363
Mailing Address - Fax:
Practice Address - Street 1:3000 W CHARLESTON BLVD STE 1-5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1926
Practice Address - Country:US
Practice Address - Phone:702-877-9511
Practice Address - Fax:702-877-6711
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV851858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse