Provider Demographics
NPI:1356528939
Name:CHEVALIER, THERESA ESTRELLA (NP-C)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ESTRELLA
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:ESTRELLA
Other - Last Name:SALDANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:8906 SPANISH RIDGE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1319
Mailing Address - Country:US
Mailing Address - Phone:702-330-3102
Mailing Address - Fax:702-912-4994
Practice Address - Street 1:1950 PINTO LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4017
Practice Address - Country:US
Practice Address - Phone:702-438-2229
Practice Address - Fax:702-385-0982
Is Sole Proprietor?:No
Enumeration Date:2008-01-26
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN000998363L00000X
NHAPN000998363LX0001X
NVAPRN00998172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1356528939Medicaid
NVRN43916OtherMEDICAL LICENSE
NV1356528939Medicaid