Provider Demographics
NPI:1750857728
Name:ARCEO, JAN MICHAEL (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:JAN MICHAEL
Middle Name:
Last Name:ARCEO
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3140 S RAINBOW BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6234
Mailing Address - Country:US
Mailing Address - Phone:702-476-4321
Mailing Address - Fax:
Practice Address - Street 1:3140 S RAINBOW BLVD STE 401
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6234
Practice Address - Country:US
Practice Address - Phone:702-476-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV815215363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health