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NPI Code Detail

MEDICARE: RELINDIS TAKU NP

MEDICARE: RELINDIS TAKU NP
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
1363LA2100XAcute Care Nurse Practitioner816830NV
2363LP0808XPsychiatric/Mental Health Nurse Practitioner816830NV
3363L00000XNurse Practitioner816830NV

General Provider Information

NPI Number : 1114297603
Entity Type Code : Individual
Provider Name (Legal Business Name) : RELINDIS TAKU NP
Provider Business Mailing Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 702-403-4770
Fax Number : 702-446-8122
Provider Business Practice Location Address
First Line : 8275 S EASTERN AVE SUITE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 702-403-4770
Fax Number : 702-446-8122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2011
Last Update Date : 01/31/2023

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