MEDICARE: KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-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
1	363LF0000X	Family Nurse Practitioner	APRN002441	NV

General Provider Information

NPI Number	:	1346786498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-C

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	725-231-9260
Fax Number	:	833-749-0364

Provider Business Practice Location Address
First Line	:	4813 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6188
Country	:	US
Telephone Number	:	725-231-9260
Fax Number	:	833-749-0364

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

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	02/11/2026

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