Provider Demographics
NPI:1861275646
Name:UNITE, VIOLETA NEPOMUCENO
Entity type:Individual
Prefix:
First Name:VIOLETA
Middle Name:NEPOMUCENO
Last Name:UNITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6769 LYDIAN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6766
Mailing Address - Country:US
Mailing Address - Phone:702-325-5368
Mailing Address - Fax:
Practice Address - Street 1:2121 E FLAMINGO RD STE 108
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5123
Practice Address - Country:US
Practice Address - Phone:702-405-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RN50311101YM0800X
NVRN50311163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health