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NPI Code Detail

MEDICARE: MISS AMBER LYNN WINN

MEDICARE:  MISS AMBER LYNN WINN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1215238092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMBER LYNN WINN
Provider Business Mailing Address
First Line : 1904 ELIMINATOR DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1904 ELIMINATOR DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1136
Country : US
Telephone Number : 702-378-9084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2010
Last Update Date : 11/09/2010

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Directions to “ MISS AMBER LYNN WINN ” Practice Location

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