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NPI Code Detail

MEDICARE: SIMRIT SARAON APRN

MEDICARE: SIMRIT SARAON APRN
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
1363LF0000XFamily Nurse PractitionerAPRN002486NV

General Provider Information

NPI Number : 1215460100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMRIT SARAON APRN
Provider Business Mailing Address
First Line : 4604 ERIN GLEN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-7253
Country : US
Telephone Number : 702-348-5582
Fax Number :
Provider Business Practice Location Address
First Line : 888 W BONNEVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-0100
Country : US
Telephone Number : 702-483-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 04/06/2017

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Directions to “ SIMRIT SARAON APRN” Practice Location

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