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NPI Code Detail

MEDICARE: REIMUND SERAFICA PMHNP

MEDICARE: REIMUND SERAFICA PMHNP
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 Practitioner837657NV

General Provider Information

NPI Number : 1245823863
Entity Type Code : Individual
Provider Name (Legal Business Name) : REIMUND SERAFICA PMHNP
Provider Business Mailing Address
First Line : 1573 DARK WOLF AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-4859
Country : US
Telephone Number : 704-473-7716
Fax Number :
Provider Business Practice Location Address
First Line : 3000 W CHARLESTON BLVD STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1940
Country : US
Telephone Number : 702-877-9511
Fax Number : 702-877-6711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2021
Last Update Date : 02/15/2021

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Directions to “ REIMUND SERAFICA PMHNP” Practice Location

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