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NPI Code Detail

MEDICARE: MALOU CUE RODRIGUEZ APN

MEDICARE: MALOU CUE RODRIGUEZ 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
1363LF0000XFamily Nurse PractitionerAPN001180NV

General Provider Information

NPI Number : 1366768897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALOU CUE RODRIGUEZ APN
Provider Business Mailing Address
First Line : 5975 DEVERS CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0100
Country : US
Telephone Number : 702-789-8622
Fax Number :
Provider Business Practice Location Address
First Line : 3758 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4132
Country : US
Telephone Number : 702-312-2233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2010
Last Update Date : 04/08/2013

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Directions to “ MALOU CUE RODRIGUEZ APN” Practice Location

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