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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARIO OLIVER TABLANTE GODOY, APRN NP-C

Active

MR. MARIO OLIVER TABLANTE GODOY, APRN NP-C is a Primary Care Nurse Practitioner healthcare provider located in LAS VEGAS, Nevada. NPI 1275822611 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · LAS VEGAS, NV

Registration Details

NPI Number
1275822611
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2011 (15.312158154083 yrs)
Last Updated
Feb 10, 2026
Licenses
APRN001258 (NV)
APRN001258 (NV)
RN67477 (NV)

Practice Information

Address
1706 W BONANZA RD
LAS VEGAS, NV, 891064704
Browse NV providers · Browse ZIP 89106
Phone
7026316860
Fax
7026316864
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Registered Nurse

Other Primary Care Nurse Practitioner Providers in LAS VEGAS, NV

Name Credential NPI
MULLISSA MICHELLE CHILDRESS APRN 1104827492
BLANCHE LENORA BRAGG FNP 1851361943
MS. JENNIFER L. CRIBB NURSE PRACTITIONER 1093047086
NERISSA C CUNANAN DIMAILIG APRN 1629390786
MR. JAY JAY MAGTOTO JOSEPH APN 1336429745
MARILOU ABELLANA MENDOZA NP 1528307659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.