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NPI Code Detail

MEDICARE: DEANNA DUCH APRN

MEDICARE: DEANNA DUCH APRN
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 Practitioner000855NV
2363L00000XNurse PractitionerAPN000855NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396715488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA DUCH APRN
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-669-5944
Fax Number : 702-737-5088
Provider Business Practice Location Address
First Line : 4475 S EASTERN AVE
Second Line : NEUROLOGY CLINIC
City : LAS VEGAS
State : NV
Zip : 89119-7826
Country : US
Telephone Number : 702-669-5944
Fax Number : 702-737-5088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 01/22/2025

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Directions to “ DEANNA DUCH APRN” Practice Location

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