Provider Demographics
NPI:1770370819
Name:MICHELLE ARCILLA APRN PLLC
Entity type:Organization
Organization Name:MICHELLE ARCILLA APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIENGTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:702-755-1147
Mailing Address - Street 1:2665 SKYLARK TRAIL ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1869
Mailing Address - Country:US
Mailing Address - Phone:702-755-1147
Mailing Address - Fax:855-314-9795
Practice Address - Street 1:2665 SKYLARK TRAIL ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1869
Practice Address - Country:US
Practice Address - Phone:702-755-1147
Practice Address - Fax:855-314-9795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service