MEDICARE: STEFANIE D REMSON 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
1	363L00000X	Nurse Practitioner	APN001333	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APN001333	OTHER	NV	NV APN LICENSE

General Provider Information

NPI Number	:	1083981955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE D REMSON APN

Provider Business Mailing Address
First Line	:	2200 PASEO VERDE PKWY STE 260
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2703
Country	:	US
Telephone Number	:	702-616-7660
Fax Number	:	702-616-7713

Provider Business Practice Location Address
First Line	:	800 N GIBSON RD STE 201
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89011-1706
Country	:	US
Telephone Number	:	702-616-5801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	04/13/2020

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Directions to “ STEFANIE D REMSON APN” Practice Location

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