Provider Demographics
NPI:1780461418
Name:JAVATE-ULANDAY, RONELA MAE LIM (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RONELA MAE
Middle Name:LIM
Last Name:JAVATE-ULANDAY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8930 W SUNSET RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5009
Mailing Address - Country:US
Mailing Address - Phone:702-489-3345
Mailing Address - Fax:
Practice Address - Street 1:8930 W SUNSET RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5009
Practice Address - Country:US
Practice Address - Phone:702-489-3345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV867261363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner