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NPI Code Detail

MEDICARE: PROF. CHERIE ANN SOPRANO PHD RN, PMHNP-BC

MEDICARE:  PROF. CHERIE ANN SOPRANO  PHD RN, PMHNP-BC
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 PractitionerSP007052PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN001827NV

General Provider Information

NPI Number : 1295081776
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. CHERIE ANN SOPRANO PHD RN, PMHNP-BC
Provider Business Mailing Address
First Line : 260 JOVITA CT
Second Line :
City : HENDERSON
State : NV
Zip : 89074-5230
Country : US
Telephone Number : 570-881-3425
Fax Number :
Provider Business Practice Location Address
First Line : 2332 N LAS VEGAS BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-5856
Country : US
Telephone Number : 570-383-9934
Fax Number : 570-230-0013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 07/13/2021

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Directions to “ PROF. CHERIE ANN SOPRANO PHD RN, PMHNP-BC” Practice Location

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