MEDICARE: JOAN LOU PARAS NAKAR APRN-CNP

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	363L00000X	Nurse Practitioner	827046	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	827046	OTHER	NV	APRN-CNP

General Provider Information

NPI Number	:	1275172173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN LOU PARAS NAKAR APRN-CNP

Provider Business Mailing Address
First Line	:	9739 DAKOTA CREEK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8713
Country	:	US
Telephone Number	:	949-294-4485
Fax Number	:

Provider Business Practice Location Address
First Line	:	9793 DAKOTA CREEK CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141
Country	:	US
Telephone Number	:	949-294-4485
Fax Number	:

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

Provider Enumeration Date	:	12/26/2019
Last Update Date	:	12/26/2019

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