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NPI Code Detail

MEDICARE: LEAH GAITHO PMHNP/FNP

MEDICARE:   LEAH  GAITHO  PMHNP/FNP
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 Practitioner828160NV
2363LF0000XFamily Nurse Practitioner828160NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120-2018638OTHERNVOTHER

General Provider Information

NPI Number : 1194355107
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH GAITHO PMHNP/FNP
Provider Business Mailing Address
First Line : 1050 E FLAMINGO RD # 1173
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7427
Country : US
Telephone Number : 702-318-7920
Fax Number :
Provider Business Practice Location Address
First Line : 6605 GRAND MONTECITO PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-0210
Country : US
Telephone Number : 702-867-6077
Fax Number : 808-480-7590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2020
Last Update Date : 11/11/2025

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