MEDICARE: MRS. LUNA CARRANZA PARAGAS 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
1	163WR0400X	Rehabilitation Registered Nurse	RN48130	NV

General Provider Information

NPI Number	:	1225293004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUNA CARRANZA PARAGAS RN

Provider Business Mailing Address
First Line	:	5510 S FORT APACHE RD STE 18
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7700
Country	:	US
Telephone Number	:	702-439-3658
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 S FORT APACHE RD STE 18
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7700
Country	:	US
Telephone Number	:	702-439-3658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	01/15/2024

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