Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amely Domingo Illustrisimo, RN

Individual provider Rehabilitation Practitioner · NPI 1730577578

Amely Domingo Illustrisimo, RN is a Rehabilitation Practitioner in Las Vegas, Nevada. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3680 N Rancho Dr
Las Vegas, NV 89130-3180
Phone: (702) 646-5437
Fax: (702) 396-4193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1730577578
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 1, 2015
Last updated in NPPESJanuary 1, 2015

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