Mr. Mario Oliver Tablante Godoy
APRN NP-C | Nurse Practitioner | 30+ years Exp
1706 W Bonanza Rd, Las Vegas
Nevada, 89106-4704
702-631-6860
Mr. Mario Oliver Tablante Godoy is a Las Vegas, Nevada based nurse practitioner with 30 years of experience in Nurse Practitioner. He completed his graduation in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Mario Oliver Tablante Godoy is APRN001258 for Family in Nevada. His current practice location is 1706 W Bonanza Rd, Las Vegas. Patients can reach him at 702-631-6860 or can fax him at 702-631-6864. Mr. Mario Oliver Tablante Godoy is APRN NP-C with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1275822611.
Mr. Mario Oliver Tablante Godoy has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Mario Oliver Tablante Godoy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Mario Oliver Tablante Godoy |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN NP-C |
| Experience: | 30+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1995 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1706 W Bonanza Rd, Las Vegas,
Nevada, 89106-4704 |
| Phone: | 702-631-6860 |
| Fax: | 702-631-6864 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6103141874 |
| Enrollment ID: | I20150223000016 |
| NPI Number: | 1275822611 |
| NPI Enumeration Date: | 06 Apr, 2011 |
| NPI Last Update On: | 09 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mario Oliver Tablante Godoy are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN001258 | Family | Nevada | Primary | |
| RN67477 | Registered Nurse | Nevada | Secondary | |
| APN001258 | Registered Nurse | Nevada | Secondary | |
| APRN001258 | Primary Care | Nevada | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Mario Oliver Tablante Godoy is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Doyne Medical Clinic Inc (1951380955) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Mario Oliver Tablante Godoy
8010 Bradley Rd,
Las Vegas, Nevada |
| Zip: | 89131-2016 |
| Phone Number: | 702-239-9123 |
Patients can reach Mr. Mario Oliver Tablante Godoy at
1706 W Bonanza Rd, Las Vegas, Nevada or can
call to book an appointment on 702-631-6860.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.