Provider Demographics
NPI:1487995965
Name:PALIJO, JULIANA ALEGRE (APRN)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:ALEGRE
Last Name:PALIJO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3100 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2023
Mailing Address - Country:US
Mailing Address - Phone:702-388-4428
Mailing Address - Fax:702-388-4312
Practice Address - Street 1:3312 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1829
Practice Address - Country:US
Practice Address - Phone:702-971-2300
Practice Address - Fax:702-903-4447
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV001471363LF0000X, 363LP0200X
NVAPRN001471363LP0200X
NVAPN001471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1487995965Medicaid