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NPI Code Detail

MEDICARE: RHIGEL ALFORQUE TAN RN MSN APN

MEDICARE:   RHIGEL ALFORQUE TAN  RN MSN APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner000724NV

General Provider Information

NPI Number : 1053528570
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHIGEL ALFORQUE TAN RN MSN APN
Provider Business Mailing Address
First Line : 6759 W CHARLESTON BLVD
Second Line : SUITE 300
City : LAS VEGAS
State : NV
Zip : 89146-2002
Country : US
Telephone Number : 702-227-4165
Fax Number : 702-227-7921
Provider Business Practice Location Address
First Line : 6759 W CHARLESTON BLVD
Second Line : SUITE 300
City : LAS VEGAS
State : NV
Zip : 89146-2002
Country : US
Telephone Number : 702-227-4165
Fax Number : 702-227-7921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 06/16/2015

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