MEDICARE: KERSTIN NOEL MARGIOTTI APN

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	363LA2200X	Adult Health Nurse Practitioner	APN001490	NV
2	363L00000X	Nurse Practitioner	APRN001490	NV

General Provider Information

NPI Number	:	1316289317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERSTIN NOEL MARGIOTTI APN

Provider Business Mailing Address
First Line	:	8969 APPELLATION AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4992
Country	:	US
Telephone Number	:	814-327-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	6045 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2572
Country	:	US
Telephone Number	:	702-562-8800
Fax Number	:

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

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	02/24/2020

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