Provider Demographics
NPI:1760025969
Name:ATU, PIUS
Entity type:Individual
Prefix:
First Name:PIUS
Middle Name:
Last Name:ATU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1902
Mailing Address - Country:US
Mailing Address - Phone:702-685-0620
Mailing Address - Fax:702-685-9674
Practice Address - Street 1:1721 E CHARLESTON BLVD STE 310
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1902
Practice Address - Country:US
Practice Address - Phone:702-685-0620
Practice Address - Fax:702-685-9674
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV824610363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health