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NPI Code Detail

MEDICARE: MARCIA A CLEVESY APN

MEDICARE: MARCIA A CLEVESY 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
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPN 000868NV

General Provider Information

NPI Number : 1154522134
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA A CLEVESY APN
Provider Business Mailing Address
First Line : PO BOX 5715981
Second Line :
City : LAS VEGAS
State : NV
Zip : 89157-1581
Country : US
Telephone Number : 702-439-4537
Fax Number :
Provider Business Practice Location Address
First Line : 1950 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4017
Country : US
Telephone Number : 702-439-4537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 09/10/2012

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Directions to “ MARCIA A CLEVESY APN” Practice Location

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