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NPI Code Detail

MEDICARE: BRANDEE NEWSOM APRN

MEDICARE: BRANDEE NEWSOM 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
1363LW0102XWomen's Health Nurse PractitionerAPRN001683NV

General Provider Information

NPI Number : 1518380096
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDEE NEWSOM APRN
Provider Business Mailing Address
First Line : 2011 PINTO LN
Second Line : SUITE 200
City : LAS VEGAS
State : NV
Zip : 89106-4004
Country : US
Telephone Number : 702-382-3200
Fax Number :
Provider Business Practice Location Address
First Line : 2011 PINTO LN
Second Line : SUITE 200
City : LAS VEGAS
State : NV
Zip : 89106-4004
Country : US
Telephone Number : 702-382-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2014
Last Update Date : 07/29/2014

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Directions to “ BRANDEE NEWSOM APRN” Practice Location

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