Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ida Praile Sorongon, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1700225844

Ida Praile Sorongon, NURSEPRACTITIONER is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2012, 14 years ago. Practices with Firstmed Health and Wellness Center Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
14
Licensed in
NV
In the registry since
2013
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Practice location Address checks out

3343 S Easterm Ave
Las Vegas, NV 89169
Phone: (702) 731-0909
Fax: (702) 731-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN001519 (NV)

Record details

NPI number1700225844
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESOctober 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Firstmed Health And Wellness Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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