Provider Demographics
NPI:1871380535
Name:PENALOSA, HOPE MELANIE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:MELANIE
Last Name:PENALOSA
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 SMOKE RANCH RD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-1116
Mailing Address - Country:US
Mailing Address - Phone:702-570-6611
Mailing Address - Fax:
Practice Address - Street 1:7200 SMOKE RANCH RD STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1116
Practice Address - Country:US
Practice Address - Phone:702-570-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV831893363LP2300X, 163WX0601X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-Neck