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NPI Code Detail

MEDICARE: CABRINA POLLEX RN

MEDICARE: CABRINA POLLEX RN
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
1225400000XRehabilitation Practitioner
2163WH0200XHome Health Registered Nurse833979NV

General Provider Information

NPI Number : 1174072615
Entity Type Code : Individual
Provider Name (Legal Business Name) : CABRINA POLLEX RN
Provider Business Mailing Address
First Line : 652 ASSURANCE PL
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4512
Country : US
Telephone Number : 702-561-3318
Fax Number :
Provider Business Practice Location Address
First Line : 4040 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0810
Country : US
Telephone Number : 702-463-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 01/06/2024

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