MEDICARE: MISS MADELEINE CHRISTINE NAVAR PA-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	207Q00000X	Family Medicine Physician	AP2026	NV
2	207QA0505X	Adult Medicine Physician	PA2026	NV
3	363A00000X	Physician Assistant	PA2026	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA2026	OTHER	NV	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1457826828	OTHER	NV	FAMILY MEDICINE

General Provider Information

NPI Number	:	1457826828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MADELEINE CHRISTINE NAVAR PA-C

Provider Business Mailing Address
First Line	:	4755 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3424
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	4755 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3424
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

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

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	09/29/2021

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Directions to “ MISS MADELEINE CHRISTINE NAVAR PA-C” Practice Location

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