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NPI Code Detail

MEDICARE: TREVERIS IZAR BEGALMAN APRN, FNP-C

MEDICARE: TREVERIS IZAR BEGALMAN APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner825793NV

General Provider Information

NPI Number : 1316577885
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREVERIS IZAR BEGALMAN APRN, FNP-C
Provider Business Mailing Address
First Line : 6252 S RAINBOW BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-3249
Country : US
Telephone Number : 702-419-3482
Fax Number : 702-419-5410
Provider Business Practice Location Address
First Line : 8859 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8723
Country : US
Telephone Number : 702-419-3482
Fax Number : 702-419-5410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2020
Last Update Date : 01/23/2020

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