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

Teodoro Agtay, APN

Individual provider Nurse Practitioner · NPI 1407263106

Teodoro Agtay, APN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Malone-Davis Neurology PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

7730 W Cheyenne Ave Ste 107
Las Vegas, NV 89129-8412
Phone: (725) 221-1568
Fax: (725) 333-9218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN001770 (NV)

Record details

NPI number1407263106
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESMay 19, 2022
Certification dateSeptember 29, 2020
Mailing address7730 W Cheyenne Ave Ste 107, Las Vegas, NV 89129-8412

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Malone-Davis Neurology Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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